RODERICK JR. KING (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1396364808
Pain Medicine (Anesthesiology) Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
969 ANESTHESIOLOGY in MN
Provider Addresses for RODERICK JR. KING (MD)
200 1ST ST SW
ROCHESTER, MN 559050001
Phone:
Type: Mailing
116 CHRISTIE DR
LUFKIN, TX 759045534
Phone: (903) 400-4744
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $1,197.
Total Amount is formed as General ($1,197) + Research ($0) + Ownership ($0) = $1,197.
Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Boston Scientific Corporation ($812).
Total Amount
$1,197
General + Research + Ownership
Payments
10
Total payment records
General Amount
$1,197
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $812 |
| Medtronic, Inc. | $165 |
| Nevro Corp. | $128 |
| SPR Therapeutics, Inc | $92 |
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: 2025-07-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20240717003127 | I | Anesthesiology | MA | TBD |
| I20250726000074 | I | Anesthesiology | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OR | |
| Anesthesiology, Pain Management | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| N E U R O S U R G E R Y | TX | |
| Physical Medicine And Rehabilitation | TX | |
| Anesthesiology, Pain Management | TX | |
| Physician Assistant | TX | |
| Pain Management, Anesthesiology | TX |
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