CRAIG ALLEN RODRIGUEZ (PA-C) – Physician Assistant, NPI 1275964504
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,223 PHYSICIAN ASSISTANT in NV
Provider Addresses for CRAIG ALLEN RODRIGUEZ (PA-C)
2856 BLYTHSWOOD SQ
HENDERSON, NV 890440201
Phone:
Type: Mailing
8670 W CHEYENNE AVE
SUITE 120
LAS VEGAS, NV 891297456
Phone: (702) 576-9608
Fax: (702) 576-9609
Type: Location
861 N MAIN ST
RICHFIELD, UT 847011840
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $709.
Total Amount is formed as General ($709) + Research ($0) + Ownership ($0) = $709.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Lilly USA, LLC ($92).
Total Amount
$709
General + Research + Ownership
Payments
34
Total payment records
General Amount
$709
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-07-16
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 |
|---|---|---|---|---|
| I20210716001870 | I | Physician Assistant | UT | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 181 | 39 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 102 | 102 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 62 | 62 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 55 | 54 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 31 | 31 | $0 |
Insurance plans in this area (ZIP 89044)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | UT | |
| D E R M A T O L O G Y | UT | |
| D E R M A T O L O G Y | UT |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.