DR. JUAN PABLO PERDOMO RODRIGUEZ (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1942556907

DR. JUAN PABLO PERDOMO RODRIGUEZ (MD) is a healthcare provider. based in South burlington, Vermont. specializing in ENDOCRINOLOGY. They hold the professional credentials MD. They hold a License No. 042.0013735 (VT). The NPI Number for DR. JUAN PABLO PERDOMO RODRIGUEZ (MD) is 1942556907

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUAN PABLO PERDOMO RODRIGUEZ (MD)
NPI
1942556907
Phone
(802) 847-4576
Address
62 TILLEY DR STE 202
Enumeration Date
27 July 2012
Last Update Date
2 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3522650139
Graduation Year
2008 (18 years ago)
PAC ID
6305148958
Group Practice PAC ID
0345146254
Professional Enrollment ID
I20211105000145
Address ID
FL326081136GA2000XRDXX434
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:13State licenses:3Digital endpointsOther names

23 ENDOCRINOLOGY in VT

Provider Addresses for DR. JUAN PABLO PERDOMO RODRIGUEZ (MD)

  • 62 TILLEY DR STE 202

    SOUTH BURLINGTON, VT 054034407

    Phone: (802) 847-4576

    Type: Mailing

  • PO BOX 100226

    GAINESVILLE, FL 326100226

    Phone: (352) 273-8656

    Type: Mailing

  • 1600 SW ARCHER RD

    GAINESVILLE, FL 326104407

    Phone: (352) 273-8656

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $104.

Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.

Last reported payment date: 2023-10-04 • Largest payer in this snapshot: SANOFI-AVENTIS U.S. LLC ($104).

Total Amount

$104

General + Research + Ownership

Payments

1

Total payment records

General Amount

$104

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
SANOFI-AVENTIS U.S. LLC$104
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: 2021-11-05

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211105000145IEndocrinologyFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes262206$0
83036Hemoglobin a1c level125106$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes12148$0
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report8362$0
99215Established patient office or other outpatient visit, 40-54 minutes6257$0
View full utilization report →

Insurance plans in this area (ZIP 05403)

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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: 0345146254View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. JUAN PABLO PERDOMO RODRIGUEZ (MD)?
NPI 1942556907 is assigned to DR. JUAN PABLO PERDOMO RODRIGUEZ (MD) under the national enumeration system.
Is DR. JUAN PABLO PERDOMO RODRIGUEZ (MD) active in the national directory?
DR. JUAN PABLO PERDOMO RODRIGUEZ (MD)'s public NPI profile is in an active state.
Does DR. JUAN PABLO PERDOMO RODRIGUEZ (MD) list a primary specialty?
If you are matching referrals, note Endocrinology, Diabetes & Metabolism Physician for DR. JUAN PABLO PERDOMO RODRIGUEZ (MD). Clinical services aligned with this taxonomy classification.
Where is DR. JUAN PABLO PERDOMO RODRIGUEZ (MD)'s primary listing?
We display South Burlington, Vermont because that is what the record indicates for DR. JUAN PABLO PERDOMO RODRIGUEZ (MD).
What if South Burlington, Vermont seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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