DR. ROBERT PAUL RODDENBERRY M.D.
NPI 1295754828
Obstetrics & Gynecology in Macon, GA

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
25.3/100
CMS Quality Rating
380 HOSPITAL DRIVE, SUITE 100, MACON, GA 31217(478) 743-4646(478) 742-5549 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert Paul Roddenberry M.d. NPPES

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

DR. ROBERT PAUL RODDENBERRY M.D. (NPI 1295754828) is an individual obstetrics & gynecology provider in Macon, Georgia, licensed in Georgia (043756) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and is a graduate of Medical College Of Georgia School Of Medicine (1993).

NPPES Registry Identity

NPI1295754828
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. ROBERT PAUL RODDENBERRYCredential: M.D.
Location Address380 HOSPITAL DRIVE, SUITE 100Macon, GA 31217
Mailing Address380 Hospital Drive, Suite 100Macon, GA 31217 · (478) 743-4646 · Fax (478) 742-5549
Fax(478) 742-5549
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1993
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1295754828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in GA · 043756
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
380 HOSPITAL DRIVE, Macon, GA 31217

Other Identifiers 3

Medicaid00759217AGA
Medicare UPING55690GA
Medicare ID-Type Unspecified16BDGDBGA

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

Dr. Robert Paul Roddenberry 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 ID345319232
PECOS Enrollment IDI20111122000331
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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
182 services182 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
181 services181 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
132 services132 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.
115 services92 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
61 services61 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.
48 services37 patients

Hospital Affiliations CMS Care Compare 4

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

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Fairview Park Hospital

Acute Care Hospitals · Dublin, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110125
Location200 Industrial BoulevardDublin, GA 31021 · Laurens County
Emergency services Birthing friendly

Coliseum Medical Centers, LLC, Dba

Acute Care Hospitals · Macon, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110164
Location350 Hospital DriveMacon, GA 31217 · Bibb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31217 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

25.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost84.36

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.

Anesthesiology
380 HOSPITAL DRIVE, SUITE 410
MACON, GA 31217
Student in an Organized Health Care Education/Training Program
380 HOSPITAL DRIVE, BUILDING A, SUITE 430
MACON, GA 31217
Anesthesiology
380 HOSPITAL DRIVE, SUITE 410
MACON, GA 31217
Anesthesiology
380 HOSPITAL DRIVE, SUITE 410
MACON, GA 31217
Nurse Anesthetist, Certified Registered
380 HOSPITAL DRIVE, SUITE 410
MACON, GA 31217
Anesthesiology
380 HOSPITAL DRIVE, SUITE 410
MACON, GA 31217
Nurse Anesthetist, Certified Registered
380 HOSPITAL DRIVE, SUITE 410
MACON, GA 31217
Student in an Organized Health Care Education/Training Program
380 HOSPITAL DRIVE, BUILDING A, SUITE 430
MACON, GA 31217

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 Roddenberry's NPI number?

The NPI number for Robert Roddenberry is 1295754828. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Robert Roddenberry located?

Robert Roddenberry practices at 380 Hospital Drive Suite 100, Macon, GA 31217. The listed phone number is (478) 743-4646.

What is Robert Roddenberry's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Robert Roddenberry enrolled in Medicare?

Yes. Robert Roddenberry 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 Roddenberry accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Robert Roddenberry 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 Roddenberry affiliated with any hospitals?

According to CMS data, Robert Roddenberry is affiliated with Houston Healthcare, Atrium Health Navicent The Medical Center, Fairview Park Hospital and Coliseum Medical Centers, LLC, Dba.

When was this NPI record last updated?

The NPPES record for Robert Roddenberry 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.