DR. ROBERT PRIOR DO
NPI 1407318801
Orthopaedic Surgery in Wauwatosa, WI
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 Ascension All Saints Hospital, and is a graduate of Rocky Vista University College Of Osteopathic Med (2019).
NPPES Registry Identity
Specialties & Licenses
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 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.
Medicare Billing Reassignments
3Medicare enrollment records show Robert Prior reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wauwatosa, WI 53222
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Orthopedic Surgeons Of Wisconsin Sc
- 57 clinicians in this Medicare group
Glendale, WI 53212
- Reassigned Medicare billing, Wisconsin enrollment
- 1,343 clinicians in this Medicare group
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 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
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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension All Saints Hospital
Acute Care Hospitals · Racine, WIAscension SE Wisconsin Hospital
Acute Care Hospitals · Milwaukee, WIFroedtert Memorial Lutheran Hospital
Acute Care Hospitals · Milwaukee, WIMidwest Orthopedic Specialty Hospital
Acute Care Hospitals · Franklin, WIPhysician 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.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WAUWATOSA, WI 53222
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.
Which organizations bill Medicare for Robert Prior's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Robert Prior reassigns Medicare benefits to 3 organizations: Orthopedic Surgeons Of Wisconsin, S.C. (Wauwatosa, WI), Ascension Medical Group-Southeast Wisconsin Inc (Glendale, WI) and Fairview Express Care (Woodbury, MN). 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 Prior's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Robert Prior accept?
Health plans from Anthem Blue Cross and Blue Shield, Network Health 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 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 15 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.
# Dr. Robert Prior, DO · NPI 1407318801
Orthopaedic Surgery physician in Wauwatosa, Wisconsin. Individual provider, active in the CMS NPPES registry since April 3, 2019.
## Identity
- **NPI:** 1407318801 (Entity type: Individual)
- **Enumerated:** April 3, 2019
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 76197 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3077 N MAYFAIR RD STE 305, Wauwatosa, WI 53222-4305
- **Phone:** (414) 643-4010
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Orthopedic Surgeons Of Wisconsin, S.C. (NPI 1295769321, Wauwatosa, WI); Ascension Medical Group-Southeast Wisconsin Inc (NPI 1609881077, Glendale, WI); Fairview Express Care (NPI 1700235587, Woodbury, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rocky Vista University College Of Osteopathic Med, class of 2019
## Record status
- **NPPES last updated:** July 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1407318801) · Data from the CMS NPPES public registry.