DR. RODERICK RENE BOYD (MD) – Surgery Physician, NPI 1295754075

DR. RODERICK RENE BOYD (MD) is a healthcare provider. based in Jackson, Tennessee. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 18052 (MS). The NPI Number for DR. RODERICK RENE BOYD (MD) is 1295754075

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. RODERICK RENE BOYD (MD)
NPI
1295754075
Phone
(870) 816-5715
Address
71 WILLOW GREEN DR
Enumeration Date
19 July 2006
Last Update Date
18 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7312212200
Graduation Year
1990 (36 years ago)
PAC ID
6800881210
Group Practice PAC ID
9830505023
Professional Enrollment ID
I20181105001712
Address ID
TN380635577RI340XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience94
Completeness75
Years active:19State licenses:4Digital endpointsOther names

300 GENERAL SURGERY in AR

Provider Addresses for DR. RODERICK RENE BOYD (MD)

  • 71 WILLOW GREEN DR

    JACKSON, TN 383059757

    Phone: (870) 816-5715

    Type: Mailing

  • 460 W OAK ST STE 601

    EL DORADO, AR 717304538

    Phone: (870) 863-2515

    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 $59.

Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.

Last reported payment date: 2023-07-12 • Largest payer in this snapshot: Novo Nordisk Inc ($59).

Total Amount

$59

General + Research + Ownership

Payments

1

Total payment records

General Amount

$59

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$59
View all Open Payments →|Open Payments Risk Radar →

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: 2018-11-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 8 Medicare enrollment records; no due dates published yet.

Enrollment records

8

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050810000592IGeneral SurgeryARTBD
I20100728000822IGeneral SurgeryGATBD
I20101222000112IGeneral SurgeryMDTBD
I20130128000345IGeneral SurgeryMSTBD
I20140912000927IGeneral SurgeryLATBD
I20160816001386IGeneral SurgeryNDTBD
I20181105001712IGeneral SurgeryTNTBD
I20181126001897IGeneral SurgeryOKTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making3838$0
99285Emergency department visit with high level of medical decision making3534$0
99283Emergency department visit with low level of medical decision making2118$0
View full utilization report →

Insurance plans in this area (ZIP 38305)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830505023View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN
General SurgeryTN
Emergency MedicineFL
Internal MedicineTN
Emergency MedicineFL
Certified Registered Nurse Anesthetist (Crna)OR
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN

Reviews

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Frequently asked questions

Is DR. RODERICK RENE BOYD (MD) listed with a National Provider Identifier?
Yes — DR. RODERICK RENE BOYD (MD) has NPI 1295754075 on file in the registry.
Active or inactive — what applies to DR. RODERICK RENE BOYD (MD)?
You should see DR. RODERICK RENE BOYD (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. RODERICK RENE BOYD (MD)?
At a glance, DR. RODERICK RENE BOYD (MD) is tied to Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. RODERICK RENE BOYD (MD) associated with Jackson?
Public fields place DR. RODERICK RENE BOYD (MD) around Jackson, Tennessee. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. RODERICK RENE BOYD (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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