MR. DONNA VICTORIA RODRIGUEZ (PA) – Surgical Physician Assistant, NPI 1669018529
Surgical Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MR. DONNA VICTORIA RODRIGUEZ (PA)
5340 N FEDERAL HWY
LIGHTHOUSE POINT, FL 330647058
Phone: (954) 428-2480
Type: Mailing
5340 N FEDERAL HWY STE 110
LIGHTHOUSE POINT, FL 330647058
Phone: (954) 428-2480
Type: Location
107 Medical Cir
Sulphur Springs, TX 754822138
Phone: (903) 885-1770
Type: Location
5340 N Federal Hwy Ste 110
Lighthouse Point, FL 330647058
Phone: (954) 428-2480
Type: Location
107 MEDICAL CIR
SULPHUR SPRINGS, TX 754822138
Phone: (903) 885-1770
Type: Mailing
121 MEDICAL CENTER DR STE 3400
BRUNSWICK, ME 040112675
Phone: (207) 406-7300
Fax: (207) 835-4736
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $337.
Total Amount is formed as General ($337) + Research ($0) + Ownership ($0) = $337.
Last reported payment date: 2024-08-20 • Largest payer in this snapshot: ABBVIE INC. ($136).
Total Amount
$337
General + Research + Ownership
Payments
11
Total payment records
General Amount
$337
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $136 |
| Ipsen Biopharmaceuticals, Inc | $92 |
| Gilead Sciences, Inc. | $84 |
| GENZYME CORPORATION | $25 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-10-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210809002693 | I | Physician Assistant | TX | TBD |
| I20240627003195 | I | Physician Assistant | ME | TBD |
| I20251024002399 | I | Physician Assistant | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 182 | 149 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 147 | 116 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 22 | 22 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 33064)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ME | |
| Nurse Practitioner | ME | |
| Certified Registered Nurse Anesthetist (Crna) | ME | |
| Cardiovascular Disease (Cardiology) | ME | |
| Endocrinology, Internal Medicine | ME | |
| - | ME | |
| Nurse Practitioner | ME | |
| Thoracic Surgery | ME | |
| H O S P I T A L I S T | ME | |
| - | NJ |
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