ROBERT JOSEPH HEALY JR. MD
NPI 1164400123
Psychiatry & Neurology - Neurology in Florence, SC

Active since January 09, 2006PECOS EnrolledAccepts Medicare Assignment
96.64/100
CMS Quality Rating
805 PAMPLICO HWY, SUITE A130, FLORENCE, SC 29505(843) 664-9200(843) 664-9202 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robert Joseph Healy Jr. Md NPPES

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

ROBERT JOSEPH HEALY JR. MD (NPI 1164400123) is an individual neurology provider in Florence, South Carolina, licensed in South Carolina (11178) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Mcleod Regional Medical Center-pee Dee, and is a graduate of Medical University Of South Carolina College Of Medicine (1981).

NPPES Registry Identity

NPI1164400123
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameROBERT JOSEPH HEALY JR.Credential: MD
Location Address805 PAMPLICO HWY, SUITE A130Florence, SC 29505-6047
Mailing Address805 Pamplico Hwy, Suite A130Florence, SC 29505-6047 · (843) 664-9200 · Fax (843) 664-9202
Fax(843) 664-9202
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1981
Enumeration DateJanuary 9, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1164400123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in SC · 11178
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
805 PAMPLICO HWY, Florence, SC 29505

Other Identifiers 2

Medicare UPIND17589
MedicaidPC4802SC

Accepted 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 Joseph Healy Jr. 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 ID42279093
PECOS Enrollment IDI20050510000671
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 23

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 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.
1,236 services469 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
956 services248 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
224 services208 patients
Measurement of brain wave activity (eeg), 41-60 minutes 95812
This procedure involves placing small sensors on your head to record your brain's electrical activity for 41-60 minutes. Known as an EEG, it helps doctors understand how your brain works, assisting in diagnosing conditions like epilepsy or sleep disorders.
223 services201 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
193 services98 patients
Measurement of brain wave activity (eeg), 41-60 minutes 95812
This procedure involves placing small sensors on your head to record your brain's electrical activity for 41-60 minutes. Known as an EEG, it helps doctors understand how your brain works, assisting in diagnosing conditions like epilepsy or sleep disorders.
150 services142 patients

Hospital Affiliations CMS Care Compare 4

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

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420051
Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County
Emergency services Birthing friendly

Musc Health Marion Medical Center

Acute Care Hospitals · Mullins, SC
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number420055
Location2829 E Hwy 76Mullins, SC 29574 · Marion County
Emergency services

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

Musc Health Florence Medical Center

Acute Care Hospitals · Florence, SC
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number420091
Location805 Pamplico Hwy Box 100550Florence, SC 29505 · Florence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29505 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
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.

96.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality86.05
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
48%323 patients3/55-star benchmark: 91%
Dementia: Cognitive Assessment
40%104 patients
Documentation of Current Medications in the Medical Record
100%3,688 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
99%678 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
90%1,341 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
18%2,660 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 1,288 patients
Patients screened: 99% · 1,288 patients
100%150 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 707 patients
Patients totalRate: 2% · 707 patients
1%707 patients4/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers60 claims60 services$39.24 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers82 claims82 services$98.19 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers80 claims168 services$36.82 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers42 claims213 services$19.86 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers22 claims118 services$15.55 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers67 claims67 services$60.06 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.

Nurse Practitioner (Family)
805 PAMPLICO HWY
FLORENCE, SC 29505
Physician Assistant
805 PAMPLICO HWY
FLORENCE, SC 29505
Internal Medicine
805 PAMPLICO HWY
FLORENCE, SC 29505
Nurse Anesthetist, Certified Registered
805 PAMPLICO HWY
FLORENCE, SC 29505
Dietitian, Registered
805 PAMPLICO HWY
FLORENCE, SC 29505
Nurse Practitioner (Acute Care)
805 PAMPLICO HWY
FLORENCE, SC 29505
Student in an Organized Health Care Education/Training Program
805 PAMPLICO HWY
FLORENCE, SC 29505
Nurse Anesthetist, Certified Registered
805 PAMPLICO HWY
FLORENCE, SC 29505

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 Healy's NPI number?

The NPI number for Robert Healy is 1164400123. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Where is Robert Healy located?

Robert Healy practices at 805 Pamplico Hwy Suite A130, Florence, SC 29505. The listed phone number is (843) 664-9200.

What is Robert Healy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Robert Healy enrolled in Medicare?

Yes. Robert Healy 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 Healy accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Molina Healthcare and UnitedHealthcare list Robert Healy 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 Healy affiliated with any hospitals?

According to CMS data, Robert Healy is affiliated with Mcleod Regional Medical Center-Pee Dee, Musc Health Marion Medical Center, Trident Medical Center and Musc Health Florence Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Healy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.