GUSTAVO RODRIGUEZ (MD) – Family Medicine Physician, NPI 1295978740
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,706 FAMILY PRACTICE in TX
Provider Addresses for GUSTAVO RODRIGUEZ (MD)
1401 MEDICAL PARKWAY, BLDG C, SUITE 150
CEDAR PARK, TX 78613
Phone: (512) 901-4038
Fax: (512) 485-0086
Type: Location
PO BOX 9049
BOULDER, CO 803049049
Phone: (303) 415-5816
Fax: (303) 293-0625
Type: Mailing
101 ERIE PKWY, STE 201C
ERIE, CO 80516
Phone: (303) 415-5816
Fax: (303) 293-0625
Type: Location
1401 Medical Parkway, Bldg C, Suite 150
Cedar Park, TX 78613
Phone: (512) 901-4038
Fax: (512) 485-0086
Type: Location
Saint David's North Austin Medical Center, 12221, North Mopac Expressway, The Centrum, Austin, Travis County, Texas, 78758, United States
AUSTIN, TX 787582483
Phone: (512) 901-4038
Fax: (512) 485-0086
Type: Mailing
545 GULFGATE CENTER MALL
HOUSTON, TX 770873023
Phone: (512) 901-4038
Fax: (512) 485-0086
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $64.
Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.
Last reported payment date: 2024-09-30 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($40).
Total Amount
$64
General + Research + Ownership
Payments
3
Total payment records
General Amount
$64
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $40 |
| Abbott Laboratories | $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: 2014-11-13
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 |
|---|---|---|---|---|
| I20141113000953 | I | Family Practice | CO | 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 | 145 | 105 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 69 | 53 | $0 |
| G0008 | Administration of influenza virus vaccine | 36 | 36 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 33 | 33 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 29 | 29 | $0 |
Insurance plans in this area (ZIP 78613)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | TX | 90670 | Pneumococcal vaccine for injection into muscle | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| - | CA | |
| - | CO | |
| Physician Assistant | CO | |
| Hospitalist, Family Practice | CO | |
| - | CO | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| - | CO | |
| - | CO |
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