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DR. ROBERT E BYRNE M.D.
NPI 1174510135
Internal Medicine - Medical Oncology in Holyoke, MA

Active since October 04, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 22D0874323 · Waiver
97.02/100
CMS Quality Rating
1221 MAIN ST, SUITE 208, HOLYOKE, MA 01040(413) 538-9694(413) 535-3072 Get Directions Write a Review

NPPES record last updated: April 16, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Robert E Byrne M.d. NPPES

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

DR. ROBERT E BYRNE M.D. (NPI 1174510135) is an individual medical oncology provider in Holyoke, Massachusetts, licensed in Massachusetts (44143) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 4, 2027, and is affiliated with Holyoke Medical Center.

NPPES Registry Identity

NPI1174510135
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameDR. ROBERT E BYRNECredential: M.D.
Location Address1221 MAIN ST, SUITE 208Holyoke, MA 01040-5396
Mailing Address1221 Main St, Suite 208Holyoke, MA 01040-5396 · (413) 538-9694 · Fax (413) 535-3072
Phone(413) 538-9694
Fax(413) 535-3072
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 1977
Enumeration DateOctober 4, 2005
Last NPPES UpdateApril 16, 2009
✔ NPI 1174510135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in MA · 44143
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
1221 MAIN ST, Holyoke, MA 01040
Open in Google Maps ↗

Other Identifiers 3

Medicare PINN51766
Medicare UPINB99560
Medicaid0163287MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 E Byrne 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 ID3375623465
PECOS Enrollment IDI20090216000492
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D0874323

Robert Byrne MD · Holyoke, MA
Active · expires Aug 4, 2027
CLIA Number22D0874323
Laboratory TypePhysician Office
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorRobert Byrne MD
Laboratory Phone(413) 538-9694
Laboratory LocationRobert Byrne MD1221 Main Street, Holyoke, MA 01040
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

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.
630 services210 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
145 services75 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.
125 services51 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
117 services117 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
104 services103 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
49 services34 patients

Hospital Affiliations CMS Care Compare 3

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

Holyoke Medical Center

Acute Care Hospitals · Holyoke, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220024
Location575 Beech StreetHolyoke, MA 01040 · Hampden County
Emergency services

Baystate Noble Hospital

Acute Care Hospitals · Westfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220065
Location115 West Silver StreetWestfield, MA 01085 · Hampden County
Emergency services

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01040 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
$177.36 typical visit price
range $58.86 – $177.36
Typical copayment $44.34 (range $14.71 – $44.34)
Most-billed visit code 99205
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers40 claims80 services$5.30 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers33 claims36 services$1.04 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier27 claims27 services$20.75 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier27 claims27 services$4.75 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier27 claims27 services$7.97 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers11 claims11 services$14.97 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 10

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

NADIA SCHUESSLER MPH
Counselor
1221 MAIN ST, STE 309
HOLYOKE, MA 01040
Hampden County (508) 397-0366
DR. JOANN MARIE RICHMOND M.D.
Pathology (Forensic Pathology)
1221 MAIN ST, SUITE 115
HOLYOKE, MA 01040
Hampden County (800) 445-5889
OMAYRA REYES-CRUZ
Peer Specialist
1221 MAIN ST
HOLYOKE, MA 01040
Hampden County (413) 316-1446
PURNIMA ADLAKHA
Internal Medicine
1221 MAIN ST, STE 117
HOLYOKE, MA 01040
Hampden County (413) 532-8700
NICHOLAS JOHN FELTON
Physician Assistant
1221 MAIN ST
HOLYOKE, MA 01040
Hampden County (413) 536-7040
STEPHEN JOHN LEVINE M.D.
Family Medicine
1221 MAIN ST, SUITE 302
HOLYOKE, MA 01040
Hampden County (413) 536-5525
MS. DEIRDRE D. MORAES LICSW
Social Worker (Clinical)
1221 MAIN ST
HOLYOKE, MA 01040
Hampden County (413) 333-2603
REBECCA L FLORES PA
Physician Assistant
1221 MAIN ST
HOLYOKE, MA 01040
Hampden County (413) 748-9349

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 Byrne's NPI number?

The NPI number for Robert Byrne is 1174510135. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Robert Byrne located?

Robert Byrne practices at 1221 Main St Suite 208, Holyoke, MA 01040. The listed phone number is (413) 538-9694.

What is Robert Byrne's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Robert Byrne enrolled in Medicare?

Yes. Robert Byrne 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.

Does Robert Byrne hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D0874323) is associated with this NPI, valid through August 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Robert Byrne accept?

Health plans from Anthem Blue Cross and Blue Shield list Robert Byrne 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 Byrne affiliated with any hospitals?

According to CMS data, Robert Byrne is affiliated with Holyoke Medical Center, Baystate Noble Hospital and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Byrne was last updated on April 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.