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DR. ROBERT HENRY BROPHY IV MD
NPI 1316070410
Orthopaedic Surgery - Sports Medicine in Saint Louis, MO

Active since March 14, 2007PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
4921 PARKVIEW PL, DEPT ORTHOPAEDIC SURGERY, STE 6A/6B/12A, SAINT LOUIS, MO 63110(314) 514-3500(314) 878-7678 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 15, 2021 and 4 more (7 updates tracked since 2016).

About Dr. Robert Henry Brophy Iv Md NPPES

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

DR. ROBERT HENRY BROPHY IV MD (NPI 1316070410) is an individual sports medicine provider in Saint Louis, Missouri, licensed in Missouri (2007014747) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and is a graduate of Washington University School Of Medicine (2001).

NPPES Registry Identity

NPI1316070410
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. ROBERT HENRY BROPHY IVCredential: MD
Location Address4921 PARKVIEW PL, DEPT ORTHOPAEDIC SURGERY, STE 6A/6B/12ASaint Louis, MO 63110-1032
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 514-3500 · Fax (314) 878-7678
Phone(314) 514-3500
Fax(314) 878-7678
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2001
Enumeration DateMarch 14, 2007
Last NPPES UpdateApril 15, 20257 updates tracked since enumeration
✔ NPI 1316070410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in MO · 2007014747
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
4921 PARKVIEW PL, Saint Louis, MO 63110
Open in Google Maps ↗

Other Identifiers 1

Medicaid209908003MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans, Medica.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 Henry Brophy Iv Md 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 ID9638279508
PECOS Enrollment IDI20070706000061
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 4

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
38 services26 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.
29 services28 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.
26 services18 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.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

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.

MS. CHERYL ANNE WOOLSEY PA
Physician Assistant
4921 PARKVIEW PL, DIV SURG HPB, STE 12B
SAINT LOUIS, MO 63110
St. Louis City (314) 747-0410
DR. CHARLES PHILLIPS JONES MD
Urology
4921 PARKVIEW PL, DIV SURG UROLOGY, STE 11C
SAINT LOUIS, MO 63110
St. Louis City (314) 362-8200
DR. PRABHA RANGANATHAN MD
Internal Medicine (Rheumatology)
4921 PARKVIEW PL, DIV IM RHEUMATOLOGY, STE 5C
SAINT LOUIS, MO 63110
St. Louis City (314) 286-2635
DR. RALPH GERARD DACEY JR. MD
Neurological Surgery
4921 PARKVIEW PL, DEPT NEUROLOGICAL SURGERY, STE 6B/6C
SAINT LOUIS, MO 63110
St. Louis City (314) 362-3577
DR. KRASIMIRA MIKHAILOVA MIKHOVA MD
Internal Medicine (Clinical Cardiac Electrophysiology)
4921 PARKVIEW PL, DIV IM CARDIOLOGY, STE 8B
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1291
DR. JEE YOUNG HAN MD
Psychiatry & Neurology (Neurology)
4921 PARKVIEW PL, DIV NEUROLOGY AGING AND DEMENTIA, STE 6C
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1408
MS. MAREN JORGENSEN OT
Occupational Therapist
4921 PARKVIEW PL, DEPT OCCUPATIONAL THERAPY, STE 6F
SAINT LOUIS, MO 63110
St. Louis City (314) 286-1669
DR. ADRIAN SHIFREN MD
Internal Medicine (Pulmonary Disease)
4921 PARKVIEW PL, DIV IM PULMONARY AND CCM, 8TH FL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-8917

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 Brophy's NPI number?

The NPI number for Robert Brophy is 1316070410. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Robert Brophy located?

Robert Brophy practices at 4921 Parkview Pl Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110. The listed phone number is (314) 514-3500.

What is Robert Brophy's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Robert Brophy enrolled in Medicare?

Yes. Robert Brophy 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 Brophy accept?

Health plans from Cox HealthPlans and Medica list Robert Brophy 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 Brophy affiliated with any hospitals?

According to CMS data, Robert Brophy is affiliated with Barnes Jewish Hospital.

When was this NPI record last updated?

The NPPES record for Robert Brophy was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.