MARK L RODKEY (M.D.) – Pediatric Emergency Medicine (Pediatrics) Physician, NPI 1508803289
Pediatric Emergency Medicine (Pediatrics) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,256 PEDIATRIC MEDICINE in TX
Provider Addresses for MARK L RODKEY (M.D.)
4502 Medical Dr
San Antonio, TX 782294402
Phone: (210) 358-2078
Fax: (210) 358-1972
Type: Location
6780 Mayfield Rd
Mayfield Hts, OH 441242203
Phone: (216) 449-4500
Type: Location
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 554541450
Phone: (612) 672-6000
Type: Location
6780, Mayfield Road, Mayfield Heights, Cuyahoga County, Ohio, 44124, United States
MAYFIELD HTS, OH 441242203
Phone: (216) 449-4500
Type: Location
405, Timberidge Trail, Gates Mills, Cuyahoga County, Ohio, 44040, United States
GATES MILLS, OH 440409712
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $105.
Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Boston Scientific Corporation ($66).
Total Amount
$105
General + Research + Ownership
Payments
4
Total payment records
General Amount
$105
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $66 |
| ABBVIE INC. | $20 |
| ACADIA Pharmaceuticals Inc | $19 |
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: 2025-07-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20100813000885 | I | Emergency Medicine | TX | TBD |
| I20230117002927 | I | Pediatric Medicine | OH | TBD |
| I20241031000212 | I | Pediatric Medicine | OK | TBD |
| I20250707002224 | I | Pediatric Medicine | MN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78229)
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