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ROBERT PAUL BROPHY MD
NPI 1003865965
Family Medicine in Canton, OH

Active since May 09, 2006PECOS EnrolledAccepts Medicare Assignment
88.16/100
CMS Quality Rating
2600 SIXTH STREET, AULTMAN HOSPITAL, CANTON, OH 44710(330) 452-9911(330) 588-4717 Get Directions Write a Review

NPPES record last updated: May 3, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Robert Paul Brophy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT PAUL BROPHY MD (NPI 1003865965) is an individual family medicine provider in Canton, Ohio, licensed in Ohio (35060597) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Aultman Hospital, and is a graduate of Northeastern Ohio University College Of Medicine (1989).

NPPES Registry Identity

NPI1003865965
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT PAUL BROPHYCredential: MD
Location Address2600 SIXTH STREET, AULTMAN HOSPITALCanton, OH 44710
Mailing Address2600 Sixth Street Sw, Aultman HospitalCanton, OH 44710 · (330) 452-9911 · Fax (330) 588-4717
Phone(330) 452-9911
Fax(330) 588-4717
Sole ProprietorYes
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1989
Enumeration DateMay 9, 2006
Last NPPES UpdateMay 3, 2010
✔ NPI 1003865965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35060597
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2600 SIXTH STREET, Canton, OH 44710
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Other Identifiers 3

Medicaid0808611OH
Medicare UPINF25181
Medicare PINBR7269531OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert Paul Brophy Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274659701
PECOS Enrollment IDI20100922000135
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Robert Brophy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

My Community Health Center
Same address
Federally Qualified Health Center (FQHC)
2600 7TH ST SW
Canton, OH 44710
  • Reassigned Medicare billing, Ohio enrollment
  • 43 clinicians in this Medicare group
NPI 1588117147 (330) 363-6211
Aultman Hospital
0.1 mi
General Acute Care Hospital
2600 6TH ST SW
Canton, OH 44710
  • Reassigned Medicare billing, Ohio enrollment
  • 153 clinicians in this Medicare group
NPI 1265458186 (330) 452-9911
Ohio Physician Professional Corporation
0.1 mi
Hospitalist
2600 SIXTH ST SW
Canton, OH 44710
  • Reassigned Medicare billing, Ohio enrollment
  • 189 clinicians in this Medicare group
NPI 1417016973 (330) 479-8705

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aultman Hospital

Acute Care Hospitals · Canton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360084
Location2600 Sixth Street SWCanton, OH 44710 · Stark County
Emergency services Birthing friendly

Aultman Orrville Hospital

Critical Access Hospitals · Orrville, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361323
Location832 South Main StreetOrrville, OH 44667 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.91
Promoting Interoperability98
Improvement Activities40
Cost65.87

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%70 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers19 claims51 services$5.42 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers17 claims17 services$41.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KISA E WEEMAN MD
Internal Medicine (Hematology & Oncology)
2600 SIXTH STREET
CANTON, OH 44710
Stark County (330) 438-6333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Brophy's NPI number?

The NPI number for Robert Brophy is 1003865965. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Robert Brophy located?

Robert Brophy practices at 2600 Sixth Street Aultman Hospital, Canton, OH 44710. The listed phone number is (330) 452-9911.

What is Robert Brophy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Brophy enrolled in Medicare?

Yes. Robert Brophy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Robert Brophy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Brophy reassigns Medicare benefits to 3 organizations: My Community Health Center (Canton, OH), Aultman Hospital (Canton, OH) and Ohio Physician Professional Corporation (Canton, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Brophy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Brophy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 3 other insurers list Robert Brophy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Robert Brophy affiliated with any hospitals?

According to CMS data, Robert Brophy is affiliated with Aultman Hospital and Aultman Orrville Hospital.

When was this NPI record last updated?

The NPPES record for Robert Brophy was last updated on May 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.