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Active NPI 1922776897 Individual Practitioner Female Practitioner

Macy Roderick , PA

Physician Assistant • Wakefield, RI

Professional Overview & Biography Verified Profile Summary

Macy Roderick, PA is a registered healthcare professional specializing in Physician Assistant in Wakefield, RI. Practice services are available at 100 KENYON AVE under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Kenyon Ave

Wakefield, RI 028794216

Telephone 4017828000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Wakefield, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.8 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
16 Specialists

Practicing in Wakefield, RI (687 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99284 Emergency department visit with moderate level of medical decision making
60 60 $398.18 $97.15
99285 Emergency department visit for life threatening or functioning severity
28 28 $585.61 $137.87
99283 Emergency department visit with low level of medical decision making
12 12 $209.39 $57.92

Medical Specialties & State Licenses

CMS Verified: 2025-08-19
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License RI PA01394

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 HI AMD-1238

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.

Secondary Practice Locations

770 Kapiolani Blvd

Honolulu, HI 968135212

Phone: 8085978791

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

38 Associated Practitioners
Dr. Jill Volk , DO

Emergency Medicine

NPI 1003009804

Doctor of Osteopathic Medicine (D.O.)

Dr. Diane Smith , MD

Internal Medicine - Hospice and Palliative Medicine

NPI 1003893322

Doctor of Medicine (M.D.)

Cassandra Tibbits

Social Worker

NPI 1013421858
Dr. James Costello , DO

Emergency Medicine

NPI 1033649959

Doctor of Osteopathic Medicine (D.O.)

NPI 1114033230

Doctor of Medicine (M.D.)

NPI 1154371102

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location August 19, 2025

Registered at 100 KENYON AVE, WAKEFIELD, RI 028794216 (Tel: 4017828000)

📍
Updated Practice Location July 07, 2023

Registered at 770 KAPIOLANI BLVD, HONOLULU, HI 968135212 (Tel: 8085978791)

📍
Updated Business Mailing Address July 07, 2023

Registered at 770 KAPIOLANI BLVD, HONOLULU, HI 968135212 (Tel: 8085978791)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2023

Physician Assistant (License #AMD-1238 in HI)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2021

Physician Assistant (License #PA01394 in RI)

NPI Profile Active September 03, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 03, 2021

Registered at 15 HERITAGE RD, ACUSHNET, MA 027435200 (Tel: 7743200248)

📍
Updated Business Mailing Address September 03, 2021

Registered at PO BOX 30191, ACUSHNET, MA 027430191 (Tel: 7743200248)

👤
Provider Name / Credentials Updated September 03, 2021

Recorded as MACY RODERICK, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2021

Physician Assistant

🟢
Initial NPI Registration & Enumeration September 03, 2021

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: 1922776897
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 03, 2021
Last Update: August 19, 2025
Sole Proprietor: No

Mailing Address

770 Kapiolani Blvd

Honolulu, HI 968135212

Phone: 8085978791

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.