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DR. ROBERT P WAUGH MD
NPI 1003950569
Orthopaedic Surgery in Stoneham, MA

Active since February 17, 2007PECOS EnrolledAccepts Medicare Assignment
92 MONTVALE AVE, STONEHAM, MA 02180(781) 279-7040(781) 279-8340 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2025, May 17, 2024, Jan 31, 2022 (3 updates tracked since 2022).

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

NPI1003950569
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. ROBERT P WAUGHCredential: MD
Location Address92 MONTVALE AVEStoneham, MA 02180-3647
Mailing Address92 Montvale Ave Ste 1400Stoneham, MA 02180-3629 · (781) 279-7040 · Fax (781) 279-8430
Phone(781) 279-7040
Fax(781) 279-8340
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2004
Enumeration DateFebruary 17, 2007
Last NPPES UpdateOctober 3, 20253 updates tracked since enumeration
NPPES CertifiedOctober 3, 2025
✔ NPI 1003950569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in OH · 35C.003050✔ Licensed in MT · 141560
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License 22698 (ND)
Also ListedSurgery · Surgery of the HandTaxonomy 2086S0105X · License 265203 (MA), MD61233140 (WA)
92 MONTVALE AVE, Stoneham, MA 02180
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Secondary Practice Locations 2

Location 116528 E Desmet CtSpokane Valley, WA 99216-3522 · Phone (509) 944-8920 · Fax (509) 227-7070
Location 22400 Miami Valley Dr Ste 280Centerville, OH 45459-4774 · Phone (937) 435-4263

Other Identifiers 2

Medicaid30209642NH
Other001733301Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Mountain Health CO-OP, Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7113043183
PECOS Enrollment IDI20251104001314, I20260407002603
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.

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
74 services31 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services43 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
38 services38 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
29 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients

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, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Grays Harbor Community Hospital

Acute Care Hospitals · Aberdeen, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500031
Location915 Anderson DriveAberdeen, WA 98520 · Grays Harbor County
Emergency services Birthing friendly

Physician 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.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier20 claims21 services$57.73 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 20

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

KRISTIN KAZZI PA-C
Physician Assistant
92 MONTVALE AVE
STONEHAM, MA 02180
Middlesex County (617) 500-2669
DR. JULIANNE STOUGHTON MD
Surgery
92 MONTVALE AVE, SUITE 3200
STONEHAM, MA 02180
Middlesex County (781) 438-8117
MR. CRAIG ALEXANDER HANSEN I
Physical Therapist (Orthopedic)
92 MONTVALE AVE, STE 1400
STONEHAM, MA 02180
Middlesex County (617) 591-4655
MS. BRIGID MARIA SCHIANO LICSW
Social Worker (Clinical)
92 MONTVALE AVE
STONEHAM, MA 02180
Middlesex County (781) 438-4300
KIMBERLY B TIGHE PA
Physician Assistant
92 MONTVALE AVE, SUITE 1400
STONEHAM, MA 02180
Middlesex County (781) 279-7040
DR. PETER ELLZEY GEE M.D.
Specialist
92 MONTVALE AVE, STONEHAM
STONEHAM, MA 02180
Middlesex County (781) 662-2229
MRS. JEAN WYATT GEE N.P.-C
Nurse Practitioner (Primary Care)
92 MONTVALE AVE, 4605
STONEHAM, MA 02180
Middlesex County (781) 662-2229
MICHELLE L. LOCK M.D
Pediatrics
92 MONTVALE AVE, SUITE 4200
STONEHAM, MA 02180
Middlesex County (781) 451-0072

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.

What insurance does Robert Waugh accept?

Health plans from Blue Cross Blue Shield of North Dakota, Mountain Health CO-OP, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Sanford Health Plan and 1 other insurer 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 10 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.