DR. TIMOTHY RODGERS – Dermatology Physician, NPI 1255395067

DR. TIMOTHY RODGERS is a healthcare provider. based in Frisco, Texas. specializing in DERMATOLOGY. They hold a License No. M2776 (TX). The NPI Number for DR. TIMOTHY RODGERS is 1255395067

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY RODGERS
NPI
1255395067
Phone
(972) 704-2400
Address
3880 PARKWOOD BLVD
Enumeration Date
17 April 2006
Last Update Date
18 September 2024

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
9727042400
Graduation Year
2002 (24 years ago)
PAC ID
5698774578
Group Practice PAC ID
4789683665
Professional Enrollment ID
I20061204000671
Address ID
TX750341929FR3880XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,284 DERMATOLOGY in TX

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Provider Addresses for DR. TIMOTHY RODGERS

  • 3880, Parkwood Boulevard, Frisco, Collin County, Texas, 75024:75057, United States

    102

    FRISCO, TX 750341928

    Phone: (972) 704-2400

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 152 Open Payments records for all available years, with a total value of $10,420.

Total Amount is formed as General ($4,670) + Research ($5,750) + Ownership ($0) = $10,420.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: PFIZER INC. ($7,195).

Total Amount

$10,420

General + Research + Ownership

Payments

152

Total payment records

General Amount

$4,670

General payments

Research Amount

$5,750

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2006-12-04

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061204000671IDermatologyTXTBD

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
17003Destruction of precancer skin growth, 2-14 growths1,295244$0
99213Established patient office or other outpatient visit, 20-29 minutes569432$0
17000Destruction of precancer skin growth, 1 growth426301$0
99212Established patient office or other outpatient visit, 10-19 minutes227177$0
11102Biopsy of related skin growth, first growth215181$0
View full utilization report →

Insurance plans in this area (ZIP 75034)

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Provider's Procedures

DR. TIMOTHY RODGERS performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYTX11101Biopsy of each additional growth of skin and/or tissue8053
DERMATOLOGYTX13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet2523
DERMATOLOGYTX17003Destruction of 2-14 skin growths831164

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: 4789683665View full group profile
NameSpecialtyState
Physician AssistantTX
Physician AssistantTX
D E R M A T O L O G YTX
Physician AssistantTX

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Frequently asked questions

Does DR. TIMOTHY RODGERS share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. TIMOTHY RODGERS uses 1255395067.
Is DR. TIMOTHY RODGERS still practicing?
DR. TIMOTHY RODGERS is currently listed as active in the public NPI registry.
What taxonomy line describes DR. TIMOTHY RODGERS?
For research purposes, treat DR. TIMOTHY RODGERS as Dermatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. TIMOTHY RODGERS serve?
DR. TIMOTHY RODGERS's listing highlights Frisco, Texas; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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