DR. ROBERT PRIOR DO
NPI 1407318801
Orthopaedic Surgery in Wauwatosa, WI

Active since April 03, 2019PECOS EnrolledAccepts Medicare Assignment
3077 N MAYFAIR RD STE 305, WAUWATOSA, WI 53222(414) 643-4010 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2025, Aug 2, 2024, Apr 3, 2019 (3 updates tracked since 2019).

About Dr. Robert Prior Do NPPES

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

DR. ROBERT PRIOR DO (NPI 1407318801) is an individual orthopaedic surgery provider in Wauwatosa, Wisconsin, licensed in Minnesota (76197) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of Rocky Vista University College Of Osteopathic Med (2019).

NPPES Registry Identity

NPI1407318801
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. ROBERT PRIORCredential: DO
Location Address3077 N MAYFAIR RD STE 305Wauwatosa, WI 53222-4305
Mailing Address3077 N Mayfair Rd Ste 305Wauwatosa, WI 53222-4305
Sole ProprietorYes
Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2019
Enumeration DateApril 3, 2019
Last NPPES UpdateJuly 7, 20253 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
NPI 1407318801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MN · 76197
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
3077 N MAYFAIR RD STE 305, Wauwatosa, WI 53222

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 Prior Do 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 ID7315275203
PECOS Enrollment IDI20240516003258, I20250821002940
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

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.

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
28 services15 patients

Hospital Affiliations CMS Care Compare 5

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

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Midwest Orthopedic Specialty Hospital

Acute Care Hospitals · Franklin, WI
OwnershipPhysician
CMS Certification Number520205
Location10101 South 27th St 2nd FloorFranklin, WI 53132 · Milwaukee County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53222 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 12

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

Orthopaedic Surgery
3077 N MAYFAIR RD STE 305
WAUWATOSA, WI 53222
Physician Assistant
3077 N MAYFAIR RD STE 305
WAUWATOSA, WI 53222
Physician Assistant (Surgical)
3077 N MAYFAIR RD STE 305
WAUWATOSA, WI 53222
Orthopaedic Surgery
3077 N MAYFAIR RD STE 305
WAUWATOSA, WI 53222
Orthopaedic Surgery
3077 N MAYFAIR RD STE 305
WAUWATOSA, WI 53222
Physician Assistant
3077 N MAYFAIR RD STE 305
WAUWATOSA, WI 53222
Physician Assistant
3077 N MAYFAIR RD STE 305
WAUWATOSA, WI 53222
Nurse Practitioner
3077 N MAYFAIR RD STE 305
WAUWATOSA, WI 53222

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 Prior's NPI number?

The NPI number for Robert Prior is 1407318801. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Where is Robert Prior located?

Robert Prior practices at 3077 N Mayfair Rd Ste 305, Wauwatosa, WI 53222. The listed phone number is (414) 643-4010.

What is Robert Prior's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Robert Prior enrolled in Medicare?

Yes. Robert Prior 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 Prior accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Network Health, Sanford Health Plan and UnitedHealthcare list Robert Prior 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 Prior affiliated with any hospitals?

According to CMS data, Robert Prior is affiliated with M Health Fairview University Of Mn, Ascension All Saints Hospital, Ascension SE Wisconsin Hospital, Froedtert Memorial Lutheran Hospital and Midwest Orthopedic Specialty Hospital.

When was this NPI record last updated?

The NPPES record for Robert Prior was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.