ROBERT T MCAFEE M.D.
NPI 1033153564
Orthopaedic Surgery in Hammond, LA

Q: What is Robert Mcafee's NPI number?

The NPI number for Robert Mcafee is 1033153564. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Q: What is Robert Mcafee's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Mcafee was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment

79.02/100

CMS Quality Rating

15813 PAUL VEGA MD DR STE 100, HAMMOND, LA 70403(985) 230-2663(985) 230-2665 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2022, Jul 21, 2022 (2 updates tracked since 2022).

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About Robert T Mcafee M.d. NPPES

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

ROBERT T MCAFEE M.D. (NPI 1033153564) is an individual orthopaedic surgery provider in Hammond, Louisiana, licensed in Louisiana (MD.015297) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with North Oaks Medical Center, and is a graduate of Tulane University School Of Medicine (1979).

NPPES Registry Identity

NPI1033153564

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameROBERT T MCAFEECredential: M.D.

Location Address15813 PAUL VEGA MD DR STE 100Hammond, LA 70403-1431

Mailing AddressPo Box 2668Hammond, LA 70404-2668 · (985) 230-1682 · Fax (985) 230-1617

Phone(985) 230-2663

Fax(985) 230-2665

Sole ProprietorNo

Medical School CMSTulane University School Of MedicineGraduated 1979

Enumeration DateJune 15, 2006

Last NPPES UpdateDecember 29, 20222 updates tracked since enumeration

NPPES CertifiedDecember 29, 2022

✔ NPI 1033153564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in LA · MD.015297

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.

15813 PAUL VEGA MD DR STE 100, Hammond, LA 70403

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Other Identifiers 1

Medicaid1337811LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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

Robert T Mcafee M.d. 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 ID8527029446

PECOS Enrollment IDI20041025000272

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 4

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.

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.

278 services170 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

186 services119 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.

48 services48 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.

13 services12 patients

Hospital Affiliations CMS Care Compare

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

North Oaks Medical Center

Acute Care Hospitals · Hammond, LA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number190015

Location15790 Paul Vega MD DriveHammond, LA 70403 · Tangipahoa County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70403 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$67.06 typical visit price

range $16.64 – $133.62

Typical copayment $16.76 (range $4.16 – $33.40)

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.

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.

79.02/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.5

Promoting Interoperability

100

Improvement Activities

Cost

42.93

Other Providers at the Same Location NPPES 15

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

DR. JEFFREY BINGHAM WITTY M.D.

Orthopaedic Surgery (Sports Medicine)