HENRY DEWITT RODEFFER (M.D.) – Internal Medicine Physician, NPI 1710978077
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
12,368 INTERNAL MEDICINE in FL
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Provider Addresses for HENRY DEWITT RODEFFER (M.D.)
202, South 18th Street, Fernandina Beach, Nassau County, Florida, 32034, United States
FERNANDINA BEACH, FL 320344729
Phone: (904) 277-4690
Fax: (904) 277-8487
Type: Location
Winkler Avenue, Fort Myers, Lee County, Florida, 33966, United States
FORT MYERS, FL 339019342
Phone: (877) 856-3774
Type: Mailing
1132 S 14TH ST
FERNANDINA BEACH, FL 320342920
Phone: (904) 432-3061
Fax: (904) 432-3062
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 140 Open Payments records for all available years, with a total value of $2,994.
Total Amount is formed as General ($2,994) + Research ($0) + Ownership ($0) = $2,994.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($519).
Total Amount
$2,994
General + Research + Ownership
Payments
140
Total payment records
General Amount
$2,994
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $519 |
| GlaxoSmithKline, LLC. | $266 |
| Novo Nordisk Inc | $213 |
| IDORSIA PHARMACEUTICALS US INC | $162 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $161 |
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: 2004-05-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20040520000634 | I | Internal Medicine | FL | 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 | 2,277 | 939 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 1,163 | 676 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 693 | 693 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 555 | 555 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 470 | 389 | $0 |
Insurance plans in this area (ZIP 32034)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL |
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