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ROBERT OSCAR SANTAELLA M.D.
NPI 1306862735
Surgery in Frisco, TX

Active since July 15, 2006PECOS EnrolledAccepts Medicare Assignment
6898 LEBANON RD, SUITE 103, FRISCO, TX 75034(972) 335-7874(214) 407-8249 Get Directions Write a Review

NPPES record last updated: December 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert Oscar Santaella M.d. NPPES

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

ROBERT OSCAR SANTAELLA M.D. (NPI 1306862735) is an individual surgery provider in Frisco, Texas, licensed in Texas (M9633) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (1995).

NPPES Registry Identity

NPI1306862735
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameROBERT OSCAR SANTAELLACredential: M.D.
Location Address6898 LEBANON RD, SUITE 103Frisco, TX 75034
Mailing Address6898 Lebanon Rd, Suite 103Frisco, TX 75034 · (972) 335-7874 · Fax (214) 407-8249
Phone(972) 335-7874
Fax(214) 407-8249
Sole ProprietorYes
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1995
Enumeration DateJuly 15, 2006
Last NPPES UpdateDecember 14, 2016
✔ NPI 1306862735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · M9633
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.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License M9633 (TX)
6898 LEBANON RD, Frisco, TX 75034
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Other Identifiers 1

Medicare UPINK25565IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare.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

Robert Oscar Santaella 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 ID1153325477
PECOS Enrollment IDI20120430000267
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 3

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.
38 services32 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.
33 services33 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.
23 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75034 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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.

SANTAELLA SURGICAL SERVICES PA
Surgery
6898 LEBANON RD, SUITE 103
FRISCO, TX 75034
Denton County (972) 335-7874
STARWOOD SURGERY INC.
Clinic/Center (Ambulatory Surgical)
6898 LEBANON RD, SUITE 102
FRISCO, TX 75034
Denton County (214) 227-2457
JENNA L WISHNEW M.D.
Surgery
6898 LEBANON RD, SUITE 103
FRISCO, TX 75034
Denton County (972) 335-7874

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 Santaella's NPI number?

The NPI number for Robert Santaella is 1306862735. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Robert Santaella located?

Robert Santaella practices at 6898 Lebanon Rd Suite 103, Frisco, TX 75034. The listed phone number is (972) 335-7874.

What is Robert Santaella's specialty?

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

Is Robert Santaella enrolled in Medicare?

Yes. Robert Santaella 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 Santaella accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Robert Santaella 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.

When was this NPI record last updated?

The NPPES record for Robert Santaella was last updated on December 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.