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DR. ROBERT L KISTNER JR. M.D.
NPI 1063404572
Surgery in Bullhead City, AZ

Active since August 19, 2005PECOS EnrolledAccepts Medicare Assignment
2755 SILVER CREEK RD STE 111, BULLHEAD CITY, AZ 86442(928) 704-7163 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Robert L Kistner Jr. M.d. NPPES

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

DR. ROBERT L KISTNER JR. M.D. (NPI 1063404572) is an individual surgery provider in Bullhead City, Arizona, licensed in Ohio (35056109) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Camden Clark Medical Center, and maintains a secondary practice location in Chandler.

NPPES Registry Identity

NPI1063404572
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ROBERT L KISTNER JR.Credential: M.D.
Location Address2755 SILVER CREEK RD STE 111Bullhead City, AZ 86442-8343
Mailing AddressPo Box 50970Phoenix, AZ 85076-0970 · (480) 706-6151 · Fax (480) 706-8908
Phone(928) 704-7163
Sole ProprietorYes
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1986
Enumeration DateAugust 19, 2005
Last NPPES UpdateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
✔ NPI 1063404572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OH · 35056109
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSpecialistTaxonomy 174400000X · License AZ20804 (AZ)
2755 SILVER CREEK RD STE 111, Bullhead City, AZ 86442
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Secondary Practice Location 1

Location 11909 E Ray Rd Ste 9-154Chandler, AZ 85225-8735 · Phone (480) 706-6151 · Fax (480) 706-8908

Other Identifiers 2

Medicaid0491638OH
Medicaid130170AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource.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 L Kistner Jr. 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 ID8921028424
PECOS Enrollment IDI20260122001775
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 Kistner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Medical Partners Northern Region Specialty Care LLC
1,689 mi
Surgery
1400 E 2ND ST
Defiance, OH 43512
  • Reassigned Medicare billing, Ohio enrollment
  • 152 clinicians in this Medicare group
NPI 1730701749 (888) 696-3541
Mercy Health Physicians North Specialty Care LLC
1,732 mi
Surgery
2200 JEFFERSON AVE
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 690 clinicians in this Medicare group
NPI 1306468418 (888) 696-3541
Camden-Clark Physician Corporation
1,833 mi
Surgery
604 ANN ST
Parkersburg, WV 26101
  • Reassigned Medicare billing, West Virginia enrollment
  • 461 clinicians in this Medicare group
NPI 1710125430 (304) 424-4593

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 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Camden Clark Medical Center

Acute Care Hospitals · Parkersburg, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510058
Location800 Garfield AveParkersburg, WV 26101 · Wood County
Emergency services Birthing friendly

Jackson General Hospital

Critical Access Hospitals · Ripley, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511320
Location122 Pinnell StRipley, WV 25271 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86442 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES 3

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

ADNAN HASSOUNE M.D.
Surgery
2755 SILVER CREEK RD STE 111
BULLHEAD CITY, AZ 86442
Mohave County (928) 704-7163
HALEIGH PIOTROWSKI PA-C
Physician Assistant
2755 SILVER CREEK RD STE 111
BULLHEAD CITY, AZ 86442
Mohave County (928) 704-7163
MR. ELLIOT CHARLES MANESS DO
Surgery
2755 SILVER CREEK RD STE 111
BULLHEAD CITY, AZ 86442
Mohave County (928) 704-7163

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 Kistner's NPI number?

The NPI number for Robert Kistner is 1063404572. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Robert Kistner located?

Robert Kistner practices at 2755 Silver Creek Rd Ste 111, Bullhead City, AZ 86442. The listed phone number is (928) 704-7163.

What is Robert Kistner's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Robert Kistner enrolled in Medicare?

Yes. Robert Kistner 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 Kistner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Kistner reassigns Medicare benefits to 3 organizations: Mercy Medical Partners Northern Region Specialty Care LLC (Defiance, OH), Mercy Health Physicians North Specialty Care LLC (Toledo, OH) and Camden-Clark Physician Corporation (Parkersburg, WV). 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 Kistner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Kistner accept?

Health plans from Antidote Health Plan of Ohio, Inc. and CareSource list Robert Kistner 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 Kistner affiliated with any hospitals?

According to CMS data, Robert Kistner is affiliated with Camden Clark Medical Center and Jackson General Hospital.

When was this NPI record last updated?

The NPPES record for Robert Kistner was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.