ROBERT LEE CLODFELTER JR. MD
NPI 1407806557
Emergency Medicine in Hilton Head, SC

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
87.16/100
CMS Quality Rating
25 HOSPITAL MEDICAL CENTER, HILTON HEAD, SC 29926(843) 689-8281 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert Lee Clodfelter Jr. Md NPPES

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

ROBERT LEE CLODFELTER JR. MD (NPI 1407806557) is an individual emergency medicine provider in Hilton Head, South Carolina, licensed in South Carolina (19445) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Hilton Head Regional Medical Center, and is a graduate of University Of South Florida College Of Medicine (1982).

NPPES Registry Identity

NPI1407806557
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameROBERT LEE CLODFELTER JR.Credential: MD
Location Address25 HOSPITAL MEDICAL CENTERHilton Head, SC 29926
Mailing Address4750 Hempstead Station DrKettering, OH 45429-5164 · (800) 875-0136 · Fax (937) 619-4231
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1982
Enumeration DateMay 11, 2006
Last NPPES UpdateApril 17, 2025
NPPES CertifiedApril 17, 2025
NPI 1407806557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in SC · 19445
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
25 HOSPITAL MEDICAL CENTER, Hilton Head, SC 29926

Other Identifiers 4

Other20028894Select Health
OtherP00114180Rr Medicare
Medicaid194453SC
Medicaid115145684AGA

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 Lee Clodfelter Jr. 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 ID7618968280
PECOS Enrollment IDI20040521000578
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
403 services385 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
192 services189 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
65 services64 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
31 services30 patients

Hospital Affiliations CMS Care Compare

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

Hilton Head Regional Medical Center

Acute Care Hospitals · Hilton Head Island, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number420080
Location25 Hospital Center BlvdHilton Head Island, SC 29925 · Beaufort County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29926 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

87.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality89.61
Improvement Activities40
Cost71.07

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 Clodfelter's NPI number?

The NPI number for Robert Clodfelter is 1407806557. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Robert Clodfelter located?

Robert Clodfelter practices at 25 Hospital Medical Center, Hilton Head, SC 29926. The listed phone number is (843) 689-8281.

What is Robert Clodfelter's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Robert Clodfelter enrolled in Medicare?

Yes. Robert Clodfelter 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.

Is Robert Clodfelter affiliated with any hospitals?

According to CMS data, Robert Clodfelter is affiliated with Hilton Head Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Clodfelter was last updated on April 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.