ROBERT JAMES NISBET MD
NPI 1093764029
Radiology - Diagnostic Radiology in Plano, TX

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
78.75/100
CMS Quality Rating
3901 W 15TH ST, PLANO, TX 75075(972) 596-6800 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 4, 2022, Oct 18, 2022 (2 updates tracked since 2022).

About Robert James Nisbet Md NPPES

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

ROBERT JAMES NISBET MD (NPI 1093764029) is an individual diagnostic radiology provider in Plano, Texas, licensed in Texas (L2506) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Centennial, and maintains a secondary practice location in El Paso.

NPPES Registry Identity

NPI1093764029
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameROBERT JAMES NISBETCredential: MD
Location Address3901 W 15TH STPlano, TX 75075-7738
Mailing Address1820 Preston Park Blvd, Ste 1825Plano, TX 75093-3656 · (972) 867-7862 · Fax (972) 612-1623
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1998
Enumeration DateMay 8, 2006
Last NPPES UpdateNovember 4, 20222 updates tracked since enumeration
NPPES CertifiedNovember 4, 2022
✔ NPI 1093764029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in TX · L2506
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License L2506 (TX)
3901 W 15TH ST, Plano, TX 75075

Secondary Practice Location 1

Location 14815 Alameda AveEl Paso, TX 79905-2705 · Phone (915) 215-6000 · Fax (915) 545-6607

Other Identifiers 2

Medicaid148692006TX
Medicaid148692007TX

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

Robert James Nisbet 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 ID3678535861
PECOS Enrollment IDI20041030000099
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

11

Medicare enrollment records show Robert Nisbet reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Radiology
3700 W 15TH ST, BUILDING D, SUITE 200
Plano, TX 75075
  • Reassigned Medicare billing, Texas enrollment
  • 213 clinicians in this Medicare group
Diagnostic Radiology
1820 PRESTON PARK BLVD STE 2400
Plano, TX 75093
  • Reassigned Medicare billing, Texas enrollment
  • 209 clinicians in this Medicare group
Diagnostic Radiology
5425 W SPRING CREEK PKWY STE 110
Plano, TX 75024
  • Reassigned Medicare billing, Texas enrollment
  • 144 clinicians in this Medicare group
Radiology
3465 NATIONAL DRIVE, SUITE 110
Plano, TX 75025
  • Reassigned Medicare billing, Texas enrollment
  • 206 clinicians in this Medicare group
Radiology
4780 N JOSEY LN
Carrollton, TX 75010
  • Reassigned Medicare billing, Texas enrollment
  • 201 clinicians in this Medicare group
Radiology
11970 N CENTRAL EXPY STE 100
Dallas, TX 75243
  • Reassigned Medicare billing, Texas enrollment
  • 216 clinicians in this Medicare group
Radiology
8501 WADE BLVD., SUITE 220
Frisco, TX 75034
  • Reassigned Medicare billing, Texas enrollment
  • 223 clinicians in this Medicare group
Radiology
997 RAINTREE CIRCLE, SUITE 110
Allen, TX 75013
  • Reassigned Medicare billing, Texas enrollment
  • 229 clinicians in this Medicare group
Radiology
2535 IRA E WOODS AVE STE 101
Grapevine, TX 76051
  • Reassigned Medicare billing, Texas enrollment
  • 194 clinicians in this Medicare group
General Practice
301 UNIVERSITY BLVD
Galveston, TX 77555
  • Reassigned Medicare billing, Texas enrollment
  • 2,222 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 45

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
2,315 services1,721 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
622 services592 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
202 services201 patients
Ct scan of blood vessels of head with contrast 70496
A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.
182 services181 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
181 services180 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
161 services161 patients

Hospital Affiliations CMS Care Compare 5

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

Baylor Scott & White Medical Center - Centennial

Acute Care Hospitals · Frisco, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450885
Location12505 Lebanon RoadFrisco, TX 75035 · Collin County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Plano

Acute Care Hospitals · Plano, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450890
Location4700 Alliance BoulevardPlano, TX 75093 · Collin County
Emergency services

The Heart Hospital Baylor Denton

Acute Care Hospitals · Denton, TX
5/5 CMS rating
OwnershipPhysician
CMS Certification Number450893
Location2801 South Mayhill RoadDenton, TX 76208 · Denton County
Emergency services

Baylor Scott & White The Heart Hospital - Plano

Acute Care Hospitals · Plano, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670025
Location1100 Allied DrivePlano, TX 75093 · Collin County
Emergency services

Baylor Scott And White Medical Center Mckinney

Acute Care Hospitals · Mc Kinney, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670082
Location5252 West University DriveMc Kinney, TX 75071 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75075 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

78.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75
Improvement Activities40

Reported Quality Measures

Appropriate Follow-up Imaging for Incidental Abdominal Lesions
Percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow_up imaging recommended: - Liver lesion =< 0.5 cm - Cystic kidney lesion < 1.0 cm -…
Lower rates are better for this measure.
0%35 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%1,264 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
99%134 patients
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.

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.

Radiology (Diagnostic Radiology)
3901 W 15TH ST
PLANO, TX 75075
Radiology (Diagnostic Radiology)
3901 W 15TH ST
PLANO, TX 75075
Emergency Medicine
3901 W 15TH ST
PLANO, TX 75075
Student in an Organized Health Care Education/Training Program
3901 W 15TH ST
PLANO, TX 75075
Anesthesiology
3901 W 15TH ST
PLANO, TX 75075
Pharmacist
3901 W 15TH ST
PLANO, TX 75075
Student in an Organized Health Care Education/Training Program
3901 W 15TH ST
PLANO, TX 75075
Nurse Practitioner (Neonatal)
3901 W 15TH ST
PLANO, TX 75075

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 Nisbet's NPI number?

The NPI number for Robert Nisbet is 1093764029. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Robert Nisbet located?

Robert Nisbet practices at 3901 W 15th St, Plano, TX 75075. The listed phone number is (972) 596-6800.

What is Robert Nisbet's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Robert Nisbet enrolled in Medicare?

Yes. Robert Nisbet 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 Nisbet's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Nisbet reassigns Medicare benefits to 11 organizations: North Star Diagnostic Imaging, LLC (Plano, TX), Texas Radiology Associates LLP (Plano, TX), Methodist-Cdi (Plano, TX), North Star Mcd, LLC (Plano, TX), North Star Cn, LP (Carrollton, TX) and 6 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 Nisbet's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Nisbet accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Robert Nisbet 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 Nisbet affiliated with any hospitals?

According to CMS data, Robert Nisbet is affiliated with Baylor Scott & White Medical Center - Centennial, Baylor Scott & White Medical Center Plano, The Heart Hospital Baylor Denton, Baylor Scott & White The Heart Hospital - Plano and Baylor Scott And White Medical Center Mckinney.

When was this NPI record last updated?

The NPPES record for Robert Nisbet was last updated on November 4, 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.