DR. JOHNNY R RODRIGUEZ (D.O.) – Surgery Physician, NPI 1457390056
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
354 GENERAL SURGERY in OK
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Provider Addresses for DR. JOHNNY R RODRIGUEZ (D.O.)
Le Poteau de Lanne, Morlanne, Pau, Pyrénées-Atlantiques, Nouvelle-Aquitaine, Metropolitan France, 64370, France
POTEAU, OK 749531177
Phone: (918) 635-3100
Fax: (918) 635-3398
Type: Mailing
Eastern Oklahoma Medical Center, 105, South Wall Street, Poteau, LeFlore County, Oklahoma, 74953, United States
POTEAU, OK 749534433
Phone: (918) 635-3100
Fax: (918) 635-3398
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2024-06-10 • Largest payer in this snapshot: ALK-Abello, Inc ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ALK-Abello, Inc | $24 |
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: 2008-01-30
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 |
|---|---|---|---|---|
| I20080130000677 | I | General Surgery | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 67 | 66 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 30 | 30 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 29 | 29 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 16 | 16 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 15 | 12 | $0 |
Insurance plans in this area (ZIP 74953)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | OK | 45378 | Diagnostic examination of large bowel using an endoscope | 16 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | OK | |
| Diagnostic Radiology | OK | |
| Nurse Practitioner | OK | |
| N E U R O L O G Y | AR | |
| E N D O C R I N O L O G Y | AR | |
| Mental Health Counselor | OK | |
| O P T O M E T R Y | OK | |
| - | OK | |
| Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology | OK |
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