Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1356732267 Deactivated / Inactive NPI Male Practitioner

Jayce Rodriguez , PA-C

Physician Assistant • Carlsbad, NM

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jayce Rodriguez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 13, 2015
NPI Deactivation Date December 06, 2017
Total Practice Duration ~3 Years of Practice (2014 – 2017)

Professional Overview & Biography Verified Profile Summary

Jayce Rodriguez, PA-C was a registered Physician Assistant practicing in Carlsbad, NM. Throughout an active medical career spanning 3 years, Jayce Rodriguez provided care at the practice location at 2405 W PIERCE ST until profile deactivation on 2017-12-06.

Jayce Rodriguez was affiliated with Yort Llc and accepted Medicare assignment.

Historical Medicare Part B clinical services included destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of up to 14 skin growths. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2405 W Pierce St

Carlsbad, NM 882203513

Telephone 5752438084
Associated Practice Facility / Clinic
🏢 Yort Llc Facility NPI 1508665563

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Carlsbad, NM

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs +5.0 yrs vs City Avg
City Avg: 7.0 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Carlsbad, NM (865 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
49.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rodriguez (12 Years) 12 Yrs
Carlsbad Specialty Average (7.0 Years) 7.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
1,087 207 $9.51 $5.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
651 393 $186.07 $107.30
17110 Destruction of up to 14 skin growths
343 256 $163.19 $90.71
17000 Destruction of skin growth
302 248 $97.51 $38.21
11102 Tangential biopsy of single skin lesion
272 229 $143.64 $65.41
17004 Destruction of precancer skin growth, 15 or more growths
176 125 $240.60 $138.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
163 163 $242.51 $139.63
99213 Established patient office or other outpatient visit, typically 15 minutes
123 106 $131.98 $76.25
11103 Biopsy of related skin growth, each additional growth
100 67 $71.97 $41.64
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
96 64 $1.50 $0.98
11900 Injection into skin growth, 1-7 growths
73 60 $82.77 $35.98
17111 Destruction of skin growth, 15 or more growths
46 42 $191.14 $109.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
35 30 $81.99 $47.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
30 30 $161.76 $93.44
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less
22 22 $376.62 $193.09
11104 Punch biopsy, first skin growth
16 14 $178.54 $103.21
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
15 14 $400.81 $170.03
0658T Electrical impedance spectroscopy of 1 or more skin growths to evaluate risk of melanoma
14 13 $150.00 $39.65
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm
13 13 $197.22 $114.03
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm
13 13 $247.53 $104.79
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
12 11 $174.65 $92.56
69100 Biopsy of ear
12 11 $137.22 $56.30

Medical Specialties & State Licenses

CMS Verified: 2025-03-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA09524

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License NM PA2024-0147

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Yort Llc

2405 W Pierce St, Carlsbad, NM 882203513

Phone: 5752882600

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location March 11, 2025

Registered at 2405 W PIERCE ST, CARLSBAD, NM 882203513 (Tel: 5752438084)

📍
Updated Business Mailing Address March 11, 2025

Registered at 2405 W PIERCE ST, CARLSBAD, NM 882203513 (Tel: 5752438084)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2025

Physician Assistant (License #PA2024-0147 in NM)

📍
Updated Business Mailing Address October 13, 2020

Registered at 221 E MELROSE DR, APT B, SAN ANTONIO, TX 782122467 (Tel: 2149346494)

🔄
NPI Profile Reactivated December 13, 2017

Record officially reactivated for active practice on December 13, 2017

📍
Updated Practice Location December 13, 2017

Registered at 8015 S. COOPER STREET, ARLINGTON, TX 76001 (Tel: 8174534440)

📍
Updated Business Mailing Address December 13, 2017

Registered at 8015 S. COOPER STREET, ARLINGTON, TX 76001 (Tel: 8174534440)

👤
Provider Name / Credentials Updated December 13, 2017

Recorded as JAYCE RODRIGUEZ, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2017

Physician Assistant (License #PA09524 in TX)

⚠️
NPI Profile Deactivated December 06, 2017

Record deactivated on December 06, 2017

NPI Profile Active October 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 18, 2016

Registered at 610 E JEFFERSON BLVD, DALLAS, TX 752032750 (Tel: 2142229115)

📍
Updated Business Mailing Address October 18, 2016

Registered at 700 N PEARL ST STE N208, DALLAS, TX 752017430 (Tel: 2149999355)

👤
Provider Name / Credentials Updated October 18, 2016

Recorded as JAYCE RODRIGUEZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2016

Physician Assistant (License #PA09524 in TX)

🟢
Initial NPI Registration & Enumeration February 13, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356732267
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2015
Last Update: March 11, 2025
Deactivation Date: December 06, 2017
Sole Proprietor: No

Mailing Address

2405 W Pierce St

Carlsbad, NM 882203513

Phone: 5752438084

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.