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DR. MARK A. RODRIGUEZ M.D.
NPI 1982708111
Family Medicine in San Antonio, TX

Active since September 08, 2006PECOS EnrolledAccepts Medicare Assignment
98.28/100
CMS Quality Rating
12602 TOEPPERWEIN RD, 201, SAN ANTONIO, TX 78233(210) 646-0404(210) 590-9158 Get Directions Write a Review

NPPES record last updated: October 31, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark A. Rodriguez M.d. NPPES

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

DR. MARK A. RODRIGUEZ M.D. (NPI 1982708111) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (H4659) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of University Of Texas Medical School At Houston (1987).

NPPES Registry Identity

NPI1982708111
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK A. RODRIGUEZCredential: M.D.
Location Address12602 TOEPPERWEIN RD, 201San Antonio, TX 78233
Mailing Address12602 Toepperwein Rd, 201San Antonio, TX 78233 · (210) 646-0404 · Fax (210) 590-9158
Phone(210) 646-0404
Fax(210) 590-9158
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1987
Enumeration DateSeptember 8, 2006
Last NPPES UpdateOctober 31, 2012
✔ NPI 1982708111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · H4659
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12602 TOEPPERWEIN RD, San Antonio, TX 78233
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Other Identifiers 5

Medicare ID-Type Unspecified89X910TX
Medicare UPINE70121TX
Medicare ID-Type Unspecified080149038TX · Medicare Railroad
Other4398014TX · Aetna
Other86691XTX · Bluecross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.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

Dr. Mark 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 ID1254301831
PECOS Enrollment IDI20040729001580
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 8

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.
1,693 services506 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
338 services338 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
104 services87 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
68 services45 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
41 services34 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
38 services32 patients

Hospital Affiliations CMS Care Compare

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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78233 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

98.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.1
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
99%5,829 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
87%865 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 15

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers19 claims50 services$5.66 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims24 services$1.12 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier11 claims2,020 services$1.66 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
10 suppliers44 claims44 services$28.30 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers28 claims28 services$61.70 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers28 claims80 services$26.62 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 10

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

DR. JOSEPH RENTERIA LUNA III M.D.
Family Medicine
12602 TOEPPERWEIN RD, #100
LIVE OAK, TX 78233
Bexar County (210) 654-0030
NORTHEAST INTERNAL MEDICAL ASSOCIATES PLLC
Internal Medicine
12602 TOEPPERWEIN RD, SUITE #100
SAN ANTONIO, TX 78233
Bexar County (210) 650-9669
NORTHEAST INTERNAL MEDICINE ASSOCIATES,PA
Internal Medicine
12602 TOEPPERWEIN RD, SUITE 100
LIVE OAK, TX 78233
Bexar County (210) 650-9669
PLES LATSON KUJAWA MD
Orthopaedic Surgery
12602 TOEPPERWEIN RD, SUITE 202
SAN ANTONIO, TX 78233
Bexar County (210) 599-8110
MARK A RODRIGUEZ MD, PA
Family Medicine
12602 TOEPPERWEIN RD, SUITE 201
SAN ANTONIO, TX 78233
Bexar County (210) 646-0404
ALISON J BERRY MD
Internal Medicine (Infectious Disease)
12602 TOEPPERWEIN RD, SUITE 207
LIVE OAK, TX 78233
Bexar County (210) 490-8941
CENTERWELL PHARMACY, INC.
Pharmacy
12602 TOEPPERWEIN RD, SUITE 100
LIVE OAK, TX 78233
Bexar County (210) 672-6510
J. MOSS FOUNDATION
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
12602 TOEPPERWEIN RD, SUITE 211
LIVE OAK, TX 78233
Bexar County (210) 656-8888

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 Mark Rodriguez's NPI number?

The NPI number for Mark Rodriguez is 1982708111. It was assigned to this individual provider in the NPPES registry on September 8, 2006.

Where is Mark Rodriguez located?

Mark Rodriguez practices at 12602 Toepperwein Rd 201, San Antonio, TX 78233. The listed phone number is (210) 646-0404.

What is Mark Rodriguez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Rodriguez enrolled in Medicare?

Yes. Mark 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 Mark Rodriguez accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Mark 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 Mark Rodriguez affiliated with any hospitals?

According to CMS data, Mark Rodriguez is affiliated with Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Mark Rodriguez was last updated on October 31, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.