DR. ROBERT P WAUGH MD
NPI 1003950569
Orthopaedic Surgery in Stoneham, MA
About Dr. Robert P Waugh Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ROBERT P WAUGH MD (NPI 1003950569) is an individual orthopaedic surgery provider in Stoneham, Massachusetts, licensed in Ohio (35C.003050) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Other Identifiers 2
Accepted 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
Dr. Robert P Waugh 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.
Medicare Billing Reassignments
8Medicare enrollment records show Robert Waugh reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Burlington, MA 01805
- Reassigned Medicare billing, Massachusetts enrollment
- 410 clinicians in this Medicare group
Yellow Springs, OH 45387
- Reassigned Medicare billing, Ohio enrollment
- 812 clinicians in this Medicare group
Fargo, ND 58102
- Reassigned Medicare billing, North Dakota enrollment
- 1,464 clinicians in this Medicare group
Webster, SD 57274
- Reassigned Medicare billing, South Dakota enrollment
- Medicare enrollment name: Avera St Lukes
- 259 clinicians in this Medicare group
Rock Springs, WY 82901
- Reassigned Medicare billing, Wyoming enrollment
- Also billed through NPI 1558361949 (Wyoming)
- 176 clinicians in this Medicare group
Great Falls, MT 59405
- Reassigned Medicare billing, Montana enrollment
- 637 clinicians in this Medicare group
Spokane, WA 99223
- Reassigned Medicare billing, Washington enrollment
- 862 clinicians in this Medicare group
Aberdeen, WA 98520
- Reassigned Medicare billing, Washington enrollment
- 39 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Medical Center Fargo
Acute Care Hospitals · Fargo, NDGrays Harbor Community Hospital
Acute Care Hospitals · Aberdeen, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02180 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STONEHAM, MA 02180
STONEHAM, MA 02180
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 Waugh's NPI number?
The NPI number for Robert Waugh is 1003950569. It was assigned to this individual provider in the NPPES registry on February 17, 2007.
Where is Robert Waugh located?
Robert Waugh practices at 92 Montvale Ave, Stoneham, MA 02180. The listed phone number is (781) 279-7040.
What is Robert Waugh's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Robert Waugh enrolled in Medicare?
Yes. Robert Waugh 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 Waugh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Robert Waugh reassigns Medicare benefits to 8 organizations: Beth Israel Lahey Health Primary Care, Inc. (Burlington, MA), Premier Health Specialists Inc (Yellow Springs, OH), Sanford Medical Center Fargo (Fargo, ND), Avera Medical Group Webster (Webster, SD), Memorial Hospital Of Sweetwater County (Rock Springs, WY) and 3 more organizations, listed in the Medicare section above. 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 Waugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Robert Waugh accept?
Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming, CareSource, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan and 5 other insurers list Robert Waugh 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 Waugh affiliated with any hospitals?
According to CMS data, Robert Waugh is affiliated with Sanford Medical Center Fargo and Grays Harbor Community Hospital.
When was this NPI record last updated?
The NPPES record for Robert Waugh was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Dr. Robert P Waugh, MD · NPI 1003950569
Orthopaedic Surgery physician in Stoneham, Massachusetts. Individual provider, active in the CMS NPPES registry since February 17, 2007.
## Identity
- **NPI:** 1003950569 (Entity type: Individual)
- **Enumerated:** February 17, 2007
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 35C.003050 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 92 MONTVALE AVE, Stoneham, MA 02180-3647
- **Phone:** (781) 279-7040 · **Fax:** (781) 279-8340
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Beth Israel Lahey Health Primary Care, Inc. (NPI 1043710791, Burlington, MA); Premier Health Specialists Inc (NPI 1356639397, Yellow Springs, OH); Sanford Medical Center Fargo (NPI 1952323974, Fargo, ND); Avera Medical Group Webster (NPI 1588978423, Webster, SD); Memorial Hospital Of Sweetwater County (NPI 1437312436, Rock Springs, WY); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Massachusetts Medical School, class of 2004
## Record status
- **NPPES last updated:** October 3, 2025
- **Other identifiers:** Medicaid 30209642 (NH); Other 001733301
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Source: [NPI Profile](https://npiprofile.com/npi/1003950569) · Data from the CMS NPPES public registry.