Duncan Rodriguez, PMHNP-BC
NPI 1063172542 · Psychiatric/Mental Health Nurse Practitioner · Danville, PA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Duncan Rodriguez, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner provider in Danville, PA (NPI 1063172542).
Provider details
- NPI number
- 1063172542
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- No
- License
- RN703531 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
242 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 194 | $63 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 48 | $96 |
Typical Medicare-allowed amounts for these services range $63–$96 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Sertraline Hcl | 12 |
| Gabapentin | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-12-23
- Last updated
- 2021-12-23
- Certified
- 2021-12-23
Frequently asked questions
- What is Duncan Rodriguez's NPI number?
- Duncan Rodriguez's National Provider Identifier (NPI) is 1063172542, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Duncan Rodriguez's specialty?
- Duncan Rodriguez is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Duncan Rodriguez located?
- Duncan Rodriguez's practice location on file with NPPES is 100 North, Danville, PA 17822-0001.
- What is Duncan Rodriguez's phone number?
- The practice phone number listed in the NPPES registry for Duncan Rodriguez is (570) 271-6211.
- Does Duncan Rodriguez accept Medicare?
- Duncan Rodriguez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Duncan Rodriguez's NPI active?
- Yes — Duncan Rodriguez's NPI (1063172542) is active in the NPPES registry as of the last update on 2021-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.