ORSON P RODRIGUEZ (M.D.) – Family Medicine Physician, NPI 1174542351

ORSON P RODRIGUEZ (M.D.) is a healthcare provider. based in Grapevine, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 23389 (OK). The NPI Number for ORSON P RODRIGUEZ (M.D.) is 1174542351

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
ORSON P RODRIGUEZ (M.D.)
NPI
1174542351
Phone
(972) 539-6330
Address
2355 E GRAPEVINE MILLS CIR
Enumeration Date
19 July 2006
Last Update Date
12 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4055571200
Graduation Year
1998 (28 years ago)
PAC ID
4880697333
Group Practice PAC ID
3476550740
Professional Enrollment ID
I20060823000106
Address ID
OK731424437OK5721XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

8,706 FAMILY PRACTICE in TX

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Provider Addresses for ORSON P RODRIGUEZ (M.D.)

  • East Grapevine Mills Circle, Grapevine Mills, Grapevine, Tarrant County, Texas, United States

    GRAPEVINE, TX 760512047

    Phone: (972) 539-6330

    Fax: (972) 539-3077

    Type: Location

  • Coppell Post Office, 450, South Denton Tap Road, Coppell, Dallas County, Texas, 75019, United States

    COPPELL, TX 750199494

    Phone: (972) 745-7500

    Fax: (972) 745-4376

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-08-23

PECOS data refreshed: 2026-06-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060823000106IFamily PracticeOKTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes341299$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)309292$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes26875$0
99203New patient office or other outpatient visit, 30-44 minutes246246$0
87804Detection test by immunoassay with direct visual observation for influenza virus15274$0
View full utilization report →

Insurance plans in this area (ZIP 76051)

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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: 3476550740View full group profile
NameSpecialtyState
Nurse PractitionerOK
General PracticeOK
Family Practice, Emergency Medicine, Geriatric Medicine, Hospice/Palliative CareOK
Certified Clinical Nurse Specialist (Cns)OK
Nurse PractitionerOK
-OK
Internal MedicineOK
Family PracticeOK
Internal MedicineOK
Physician AssistantOK

Reviews

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Frequently asked questions

Can I verify ORSON P RODRIGUEZ (M.D.) with an NPI only?
You can start verification with NPI 1174542351 for ORSON P RODRIGUEZ (M.D.), then check state licensing separately.
Does the file indicate ORSON P RODRIGUEZ (M.D.) is practicing under active NPI?
Directory data currently reports ORSON P RODRIGUEZ (M.D.) as active.
What is ORSON P RODRIGUEZ (M.D.) best known for clinically?
Directory data describes ORSON P RODRIGUEZ (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is ORSON P RODRIGUEZ (M.D.) based?
ORSON P RODRIGUEZ (M.D.) is tied to Grapevine, Texas in the data we show; additional addresses may exist on the full record.
Is the information about ORSON P RODRIGUEZ (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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