JOHN ROCCO MACMILLAN RODNEY (M.D.) – Addiction Medicine (Family Medicine) Physician, NPI 1891944708
Addiction Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,330 FAMILY PRACTICE in MO
Provider Addresses for JOHN ROCCO MACMILLAN RODNEY (M.D.)
2101 N Ash St
Nevada, MO 647721082
Phone: (832) 755-9251
Fax: (417) 423-8402
Type: Location
3110 E Coliseum Blvd
Fort Wayne, IN 468051554
Phone: (260) 208-5366
Fax: (260) 208-5366
Type: Location
Covington Pike, Memphis, Shelby County, Tennessee, 38122, United States
MEMPHIS, TN 381285048
Phone: (901) 383-8889
Fax: (901) 384-6309
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 133 Open Payments records for all available years, with a total value of $114,266.
Total Amount is formed as General ($114,266) + Research ($0) + Ownership ($0) = $114,266.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Braeburn Inc. ($114,221).
Total Amount
$114,266
General + Research + Ownership
Payments
133
Total payment records
General Amount
$114,266
General payments
Research Amount
$0
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
| Company | Amount |
|---|---|
| Braeburn Inc. | $114,221 |
| Indivior Inc. | $45 |
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: 2025-08-27
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 |
|---|---|---|---|---|
| I20110216000233 | I | Family Practice | TN | TBD |
| I20250428003994 | I | Family Practice | IN | TBD |
| I20250613002982 | I | Addiction Medicine | VA | TBD |
| I20250827003195 | I | Addiction Medicine | OH | 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 64772)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Physician Assistant | TN | |
| Obstetrics/Gynecology, Family Practice | TN | |
| Family Practice, Obstetrics/Gynecology | TN | |
| Clinical Social Worker | NC | |
| Family Practice | TN | |
| Family Practice | TN | |
| Family Practice | FL | |
| Family Practice, Obstetrics/Gynecology | PA |
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