MRS. ELENA MAYRA RODRIGUEZ (PA-C) – Physician Assistant, NPI 1629466834
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for MRS. ELENA MAYRA RODRIGUEZ (PA-C)
3200 S LANCASTER RD STE 180
DALLAS, TX 752164555
Phone:
Type: Mailing
117 Medical Cir
Athens, TX 757519003
Phone: (903) 676-3200
Fax: (903) 676-3277
Type: Location
170 MUNICIPAL DR
GUN BARREL CITY, TX 751563704
Phone: (903) 887-7992
Fax: (903) 887-7996
Type: Location
117 MEDICAL CIR
ATHENS, TX 757519003
Phone: (903) 676-3200
Fax: (903) 676-3277
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 82 Open Payments records for all available years, with a total value of $1,678.
Total Amount is formed as General ($1,678) + Research ($0) + Ownership ($0) = $1,678.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: PFIZER INC. ($350).
Total Amount
$1,678
General + Research + Ownership
Payments
82
Total payment records
General Amount
$1,678
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $350 |
| Lilly USA, LLC | $189 |
| AstraZeneca Pharmaceuticals LP | $175 |
| Otsuka America Pharmaceutical, Inc. | $169 |
| Mylan Specialty L.P. | $124 |
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: 2018-04-05
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 |
|---|---|---|---|---|
| I20180405002349 | I | Physician Assistant | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 23 | 23 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 16 | 15 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 16 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 75216)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Family Practice, Internal Medicine | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| - | TX |
Reviews
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