DR. ROBERT HENRY BROPHY IV MD
NPI 1316070410
Orthopaedic Surgery - Sports Medicine in Saint Louis, MO
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
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Robert Brophy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63110
- Reassigned Medicare billing, Missouri enrollment
- 157 clinicians in this Medicare group
Saint Louis, MO 63110
- Reassigned Medicare billing, Missouri enrollment
- 95 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Barnes Jewish Hospital
Acute Care Hospitals · Saint Louis, MOSt Lukes Hospital
Acute Care Hospitals · Chesterfield, MOMedicare 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.
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.
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
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.
Which organizations bill Medicare for Robert Brophy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Robert Brophy reassigns Medicare benefits to 2 organizations: Washington University (Saint Louis, MO) and Shriners Hospitals For Children (Saint Louis, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Brophy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Robert Brophy accept?
Health plans from Cox HealthPlans and UnitedHealthcare 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 and St Lukes 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 18 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.