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Active NPI 1093989352 Individual Practitioner Female Practitioner

Roxanne Rodriguez , PA-C

Physician Assistant • Live Oak, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Roxanne Rodriguez, PA-C is a certified Physician Assistant practicing in Live Oak, TX. With approximately 19 years of clinical experience since completing medical education in 2007, Roxanne Rodriguez delivers high-quality medical care to the local community at 12602 TOEPPERWEIN RD STE 100.

Roxanne Rodriguez is affiliated with Conviva Medical Center Management Of Texas, P.A. and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12602 Toepperwein Rd Ste 100

Live Oak, TX 782333204

Telephone 2106540030
Fax 8772126201
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Live Oak, TX

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs +9.6 yrs vs City Avg
City Avg: 9.4 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
21 Specialists

Practicing in Live Oak, TX (11140 Statewide)

Telehealth Adoption Rate
23.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rodriguez (19 Years) 19 Yrs
Live Oak Specialty Average (9.4 Years) 9.4 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
J1010 Injection, methylprednisolone acetate, 1 mg
682 13 $15.00 $0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
207 164 $220.00 $104.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
159 159 $220.00 $105.34
99213 Established patient office or other outpatient visit, typically 15 minutes
119 87 $156.26 $73.83
G0008 Administration of influenza virus vaccine
42 42 $75.00 $31.03
90653 Vaccine for influenza for injection into muscle
41 41 $65.00 $63.70
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
31 28 $35.00 $13.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
15 13 $25.00 $11.57

Medical Specialties & State Licenses

CMS Verified: 2026-02-20
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA05692

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
320253302 (TX)
Commercial Insurance / Payer ID Bcbstx
8439NM (TX)

Hospital & Practice Group Affiliations

Conviva Medical Center Management Of Texas, P.a.

260 Us Hwy 181 N, Floresville, TX 781143136

Phone: 8303938222

Practice Associates & Co-Workers

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

6 Associated Practitioners
Dr. Joseph Luna , MD

Family Medicine

NPI 1023127255

Doctor of Medicine (M.D.)

Dr. Neelima Gaddam , MD

Internal Medicine

NPI 1134847726

Doctor of Medicine (M.D.)

Dr. Fahd Almohid , MD

Internal Medicine

NPI 1346669587

Doctor of Medicine (M.D.)

Jennifer Solis , NP-C

Internal Medicine - Geriatric Medicine

NPI 1679173652

Nurse Practitioner (Certified)

Shaina Momin , NP

Nurse Practitioner - Family

NPI 1699248286

Nurse Practitioner

NPI 1770530016

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location February 20, 2026

Registered at 12602 TOEPPERWEIN RD STE 100, LIVE OAK, TX 782333204 (Tel: 2106540030)

📍
Updated Business Mailing Address February 20, 2026

Registered at 6101 BLUE LAGOON DR STE 200, MIAMI, FL 331263168 (Tel: 2106540030)

📍
Updated Business Mailing Address January 10, 2019

Registered at 6101 BLUE LAGOON DR STE 400, MIAMI, FL 331262051 (Tel: 8446300700)

📍
Updated Business Mailing Address April 27, 2018

Registered at 711 NAVARRO ST STE 600, SAN ANTONIO, TX 782051892 (Tel: 8446300700)

NPI Profile Active October 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2016

Registered at 12602 TOEPPERWEIN RD, SUITE 100, LIVE OAK, TX 782333269 (Tel: 2106540030)

📍
Updated Business Mailing Address October 03, 2016

Registered at 1045 CENTRAL PKWY N, SUITE 200, SAN ANTONIO, TX 782325085 (Tel: 2105369591)

👤
Provider Name / Credentials Updated October 03, 2016

Recorded as ROXANNE RODRIGUEZ, P.A.-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2016

Physician Assistant (License #PA05692 in TX)

🟢
Initial NPI Registration & Enumeration April 17, 2008

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: 1093989352
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2008
Last Update: February 20, 2026
Sole Proprietor: No

Mailing Address

6101 Blue Lagoon Dr Ste 200

Miami, FL 331263168

Phone: 2106540030

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.