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DR. ROBERT WAYNE HODGE M.D.
NPI 1215989173
Surgery in Lockport, NY

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
160 EAST AVE, LOCKPORT, NY 14094(716) 434-6141(716) 434-0594 Get Directions Write a Review

NPPES record last updated: May 31, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert Wayne Hodge M.d. NPPES

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

DR. ROBERT WAYNE HODGE M.D. (NPI 1215989173) is an individual surgery provider in Lockport, New York, licensed in Kentucky (184736-7) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Kenmore Mercy Hospital, and is a graduate of University Of Louisville School Of Medicine (1987).

NPPES Registry Identity

NPI1215989173
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ROBERT WAYNE HODGECredential: M.D.
Location Address160 EAST AVELockport, NY 14094-3835
Mailing Address160 East AveLockport, NY 14094-3835 · (716) 434-6141 · Fax (716) 434-0594
Phone(716) 434-6141
Fax(716) 434-0594
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1987
Enumeration DateMay 17, 2006
Last NPPES UpdateMay 31, 2012
✔ NPI 1215989173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in KY · 184736-7
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.
160 EAST AVE, Lockport, NY 14094
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Other Identifiers 3

Medicare UPINF51566NY
Medicaid01449485NY
Medicare ID-Type UnspecifiedBB6500NY

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 Wayne Hodge 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 ID6800970344
PECOS Enrollment IDI20080222000424
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 9

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 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.
59 services51 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.
53 services46 patients
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.
23 services23 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.
22 services22 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
18 services18 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Kenmore Mercy Hospital

Acute Care Hospitals · Kenmore, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330102
Location2950 Elmwood AvenueKenmore, NY 14217 · Erie County
Emergency services

Mount St. Mary's Hospital & Health Center

Acute Care Hospitals · Lewiston, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330188
Location5300 Military RoadLewiston, NY 14092 · Niagara County
Emergency services Birthing friendly

Unity Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330226
Location1555 Long Pond RoadRochester, NY 14626 · Monroe County
Emergency services Birthing friendly

Medina Memorial Hospital

Critical Access Hospitals · Medina, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331319
Location200 Ohio StreetMedina, NY 14103 · Orleans County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14094 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
15%343 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%58 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,262 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
49%89 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
8%167 patients1/55-star benchmark: 100%
Photodocumentation of Cecal Intubation
The rate of screening and surveillance colonoscopies for which photodocumentation of landmarks of cecal intubation is performed to establish a complete examination
98%63 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
60%167 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.

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.

TODD M COVEL P.A.
Physician Assistant (Surgical)
160 EAST AVE
LOCKPORT, NY 14094
Niagara County (716) 434-6141
DR. JEFFREY JOHN SCHRATZ M.D.
Surgery
160 EAST AVE
LOCKPORT, NY 14094
Niagara County (716) 434-6141
GREAT LAKES SURGICAL ASSOCIATES, P.C.
Surgery
160 EAST AVE
LOCKPORT, NY 14094
Niagara County (716) 434-6141

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 Hodge's NPI number?

The NPI number for Robert Hodge is 1215989173. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Robert Hodge located?

Robert Hodge practices at 160 East Ave, Lockport, NY 14094. The listed phone number is (716) 434-6141.

What is Robert Hodge's specialty?

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

Is Robert Hodge enrolled in Medicare?

Yes. Robert Hodge 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.

Is Robert Hodge affiliated with any hospitals?

According to CMS data, Robert Hodge is affiliated with Kenmore Mercy Hospital, Mount St. Mary's Hospital & Health Center, Unity Hospital and Medina Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Robert Hodge was last updated on May 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.