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DR. ROBERT S. PEMA D.O.
NPI 1194838458
Otolaryngology in Columbus, OH

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
89.02/100
CMS Quality Rating
4488 W BROAD STREET, SUITE 3, COLUMBUS, OH 43228(614) 853-1950(614) 853-1951 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Robert S. Pema D.o. NPPES

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

DR. ROBERT S. PEMA D.O. (NPI 1194838458) is an individual otolaryngology provider in Columbus, Ohio, licensed in Ohio (34-005324) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Ohio University, College Of Osteopathic Medicine (1990).

NPPES Registry Identity

NPI1194838458
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. ROBERT S. PEMACredential: D.O.
Location Address4488 W BROAD STREET, SUITE 3Columbus, OH 43228
Mailing Address4488 W Broad Street, Suite 3Columbus, OH 43228 · (614) 853-1950 · Fax (614) 853-1951
Phone(614) 853-1950
Fax(614) 853-1951
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1990
Enumeration DateAugust 17, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1194838458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in OH · 34-005324
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4488 W BROAD STREET, Columbus, OH 43228
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Other Identifiers 2

Other0176796OH · Mcd #
Medicaid0176796OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 S. Pema D.o. 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 ID6608864616
PECOS Enrollment IDI20080123000180
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 10

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
202 services202 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.
170 services139 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
150 services112 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.
80 services80 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
49 services40 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
45 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43228 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

89.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality78.47
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
74%514 patients4/55-star benchmark: 93%
Cervical Cancer Screening
48%658 patients2/55-star benchmark: 98%
Chlamydia Screening for Women
39%67 patients
Closing the Referral Loop: Receipt of Specialist Report
22%250 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
53%1,136 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
63%545 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
51%225 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
21%225 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%3,267 patients4/55-star benchmark: 100%
e-Prescribing
98%1,701 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
74%717 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
43%2,269 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
28%1,580 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
1%2,339 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 92% · 705 patients
Patients screened: 98% · 705 patients
46%84 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%2,641 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%599 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 8% · 748 patients
Patients totalRate: 16% · 748 patients
15%748 patients3/55-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.

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 Pema's NPI number?

The NPI number for Robert Pema is 1194838458. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Robert Pema located?

Robert Pema practices at 4488 W Broad Street Suite 3, Columbus, OH 43228. The listed phone number is (614) 853-1950.

What is Robert Pema's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Robert Pema enrolled in Medicare?

Yes. Robert Pema 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 Pema accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Robert Pema 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 Pema affiliated with any hospitals?

According to CMS data, Robert Pema is affiliated with Riverside Methodist Hospital and Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Robert Pema was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.