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DR. ROBERT DRODER M.D.
NPI 1275538985
Internal Medicine - Hematology & Oncology in Tyler, TX

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
721 CLINIC DR, STE A, TYLER, TX 75701(903) 592-6152(903) 526-0629 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Robert Droder M.d. NPPES

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

DR. ROBERT DRODER M.D. (NPI 1275538985) is an individual hematology & oncology provider in Tyler, Texas, licensed in Texas (K0723) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Hahnemann University College Of Medicine (1985).

NPPES Registry Identity

NPI1275538985
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. ROBERT DRODERCredential: M.D.
Location Address721 CLINIC DR, STE ATyler, TX 75701-2043
Mailing AddressPo Box 731912Dallas, TX 75373-1912 · (903) 877-7635 · Fax (903) 877-7754
Phone(903) 592-6152
Fax(903) 526-0629
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1985
Enumeration DateJune 17, 2005
Last NPPES UpdateJuly 18, 2019
✔ NPI 1275538985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in TX · K0723
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
721 CLINIC DR, Tyler, TX 75701
Open in Google Maps ↗

Other Identifiers 2

Medicaid1062911-01TX
Other89M833TX · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 Droder 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 ID7012055288
PECOS Enrollment IDI20101124000477
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 11

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.
571 services356 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
247 services105 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
161 services33 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.
142 services57 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
110 services43 patients
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.
96 services66 patients

Hospital Affiliations CMS Care Compare 5

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Ut Health East Texas Athens Hospital

Acute Care Hospitals · Athens, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450389
Location2000 South Palestine StAthens, TX 75751 · Henderson County
Emergency services Birthing friendly

Ut Health East Texas Henderson Hospital

Acute Care Hospitals · Henderson, TX
OwnershipProprietary
CMS Certification Number450475
Location300 Wilson StreetHenderson, TX 75652 · Rusk County
Emergency services Birthing friendly
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450690
Location11937 Us Highway 271Tyler, TX 75708 · Smith County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier17 claims1,416 services$0.64 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier14 claims14 services$19.01 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 15

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

JEFFREY GILROY MD PA
Radiology (Therapeutic Radiology)
721 CLINIC DR
TYLER, TX 75701
Smith County (903) 595-5550
TYLER HEMATOLOGY ONCOLOGY, P.A.
Internal Medicine (Hematology & Oncology)
721 CLINIC DR, STE A
TYLER, TX 75701
Smith County (903) 592-6152
EAST TEXAS MEDICAL CENTER CANCER INSTITUTE
Radiology (Radiation Oncology)
721 CLINIC DR
TYLER, TX 75701
Smith County (903) 595-5550
MRS. MYRTHA BASILE M.D.
Internal Medicine (Hematology & Oncology)
721 CLINIC DR, STE A
TYLER, TX 75701
Smith County (903) 592-6152
DR. KATRINA Y. GLOVER M.D.
Internal Medicine (Hematology & Oncology)
721 CLINIC DR, STE A
TYLER, TX 75701
Smith County (903) 592-6152
DR. BRANDON ASHTON M.D.
Radiology (Diagnostic Radiology)
721 CLINIC DR
TYLER, TX 75701
Smith County (903) 535-6301
ANNALA J. SHIRLEY NP-C
Nurse Practitioner
721 CLINIC DR, STE A
TYLER, TX 75701
Smith County (903) 595-7014
DR. BRUCE ELKIN ELLERIN M.D.
Radiology (Radiation Oncology)
721 CLINIC DR
TYLER, TX 75701
Smith County (903) 535-6312

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 Droder's NPI number?

The NPI number for Robert Droder is 1275538985. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Robert Droder located?

Robert Droder practices at 721 Clinic Dr Ste A, Tyler, TX 75701. The listed phone number is (903) 592-6152.

What is Robert Droder's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Robert Droder enrolled in Medicare?

Yes. Robert Droder 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 Droder 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 2 other insurers list Robert Droder 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 Droder affiliated with any hospitals?

According to CMS data, Robert Droder is affiliated with Ut Health East Texas Tyler Regional Hospital, Christus Mother Frances Hospital, Ut Health East Texas Athens Hospital, Ut Health East Texas Henderson Hospital and The University Of Texas Health Science Center At Tyler.

When was this NPI record last updated?

The NPPES record for Robert Droder was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.