MR. MIGUEL A. RODRIGUEZ M.D.
NPI 1952370249
Internal Medicine - Pulmonary Disease in Springfield, MA

Active since March 17, 2006PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
2150 MAIN STREET, SPRINGFIELD, MA 01104(413) 739-5676(413) 739-2278 Get Directions Write a Review

NPPES record last updated: June 13, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Miguel A. Rodriguez M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MIGUEL A. RODRIGUEZ M.D. (NPI 1952370249) is an individual pulmonary disease provider in Springfield, Massachusetts, licensed in Massachusetts (MA-220411) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and is a graduate of University Of Massachusetts Medical School (2001).

NPPES Registry Identity

NPI1952370249
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMR. MIGUEL A. RODRIGUEZCredential: M.D.
Location Address2150 MAIN STREETSpringfield, MA 01104
Mailing Address2150 Main Street, Ste 265 Hospitalist OfficeSpringfield, MA 01104 · (413) 739-5676 · Fax (413) 739-2278
Fax(413) 739-2278
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2001
Enumeration DateMarch 17, 2006
Last NPPES UpdateJune 13, 2011
NPI 1952370249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MA · MA-220411
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedHospitalistTaxonomy 208M00000X · License 220411 (MA)
2150 MAIN STREET, Springfield, MA 01104

Other Identifiers 1

Medicare UPINI11964

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Miguel A. Rodriguez M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608849757
PECOS Enrollment IDI20040817000368
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
844 services470 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
68 services41 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
42 services42 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
38 services38 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
36 services36 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220015
Location30 Locust StreetNorthampton, MA 01060 · Hampshire County
Emergency services Birthing friendly

Holyoke Medical Center

Acute Care Hospitals · Holyoke, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220024
Location575 Beech StreetHolyoke, MA 01040 · Hampden County
Emergency services

Baystate Noble Hospital

Acute Care Hospitals · Westfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220065
Location115 West Silver StreetWestfield, MA 01085 · Hampden County
Emergency services

Mercy Medical Ctr

Acute Care Hospitals · Springfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220066
Location271 Carew StreetSpringfield, MA 01104 · Hampden County
Emergency services Birthing friendly

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 40

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Sterile water/saline, 500 ml A4217
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims314 services$2.58 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers104 claims104 services$33.29 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
2 suppliers16 claims544 services$4.36 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers75 claims151 services$1.22 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
4 suppliers53 claims53 services$8.62 avg. paid by Medicare
Filter, disposable, used with aerosol compressor or ultrasonic generator A7013
DME-Other DME · category DE000N
3 suppliers22 claims23 services$0.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
2150 MAIN STREET
SPRINGFIELD, MA 01104
Nurse Practitioner
2150 MAIN STREET
SPRINGFIELD, MA 01104
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2150 MAIN STREET
SPRINGFIELD, MA 01104
Internal Medicine (Pulmonary Disease)
2150 MAIN STREET
SPRINGFIELD, MA 01104
Physician Assistant (Medical)
2150 MAIN STREET
SPRINGFIELD, MA 01104
Physician Assistant
2150 MAIN STREET
SPRINGFIELD, MA 01104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miguel Rodriguez's NPI number?

The NPI number for Miguel Rodriguez is 1952370249. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Miguel Rodriguez located?

Miguel Rodriguez practices at 2150 Main Street, Springfield, MA 01104. The listed phone number is (413) 739-5676.

What is Miguel Rodriguez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Miguel Rodriguez enrolled in Medicare?

Yes. Miguel Rodriguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Miguel Rodriguez accept?

Health plans from Anthem Blue Cross and Blue Shield list Miguel Rodriguez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Miguel Rodriguez affiliated with any hospitals?

According to CMS data, Miguel Rodriguez is affiliated with Cooley Dickinson Hospital Inc,the, Holyoke Medical Center, Baystate Noble Hospital, Mercy Medical Ctr and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Miguel Rodriguez was last updated on June 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.