ROBERT P LAGRONE MD
NPI 1417903378
Internal Medicine - Rheumatology in Nashville, TN

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
98.76/100
CMS Quality Rating
2001 CHARLOTTE AVE, SUITE #102, NASHVILLE, TN 37203(615) 321-3277 Get Directions Write a Review

NPPES record last updated: April 20, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert P Lagrone Md NPPES

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

ROBERT P LAGRONE MD (NPI 1417903378) is an individual rheumatology provider in Nashville, Tennessee, licensed in Tennessee (MD20971) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (1987).

NPPES Registry Identity

NPI1417903378
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameROBERT P LAGRONECredential: MD
Location Address2001 CHARLOTTE AVE, SUITE #102Nashville, TN 37203-2032
Mailing Address2001 Charlotte Ave, Suite #102Nashville, TN 37203-2032 · (615) 321-3277 · Fax (615) 321-3166
Sole ProprietorYes
Medical School CMSVanderbilt University School Of MedicineGraduated 1987
Enumeration DateMay 25, 2006
Last NPPES UpdateApril 20, 2010
NPI 1417903378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in TN · MD20971
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

2001 CHARLOTTE AVE, Nashville, TN 37203

Other Identifiers 1

Medicare UPINF49597TN

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

Robert P Lagrone 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 ID6608818943
PECOS Enrollment IDI20050526000038
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 14

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.

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
103,600 services30 patients
Injection, tocilizumab, 1 mg J3262
Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.
42,231 services12 patients
Injection, infliximab, excludes biosimilar, 10 mg J1745
Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.
30,533 services66 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
5,625 services14 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,320 services13 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
705 services107 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37203 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

98.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality98.84
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%586 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
54%157 patients3/55-star benchmark: 98%
e-Prescribing
99%2,573 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,817 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
89%3,974 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 64% · 1,276 patients
Patients screened: 64% · 1,276 patients
100%108 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
97%937 patients4/55-star benchmark: 100%
Rheumatoid Arthritis (RA): Glucocorticoid Management
100%906 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Internal Medicine
2001 CHARLOTTE AVE, SUITE 101
NASHVILLE, TN 37203
Specialist
2001 CHARLOTTE AVE, SUITE205
NASHVILLE, TN 37203
Internal Medicine
2001 CHARLOTTE AVE, STE 101
NASHVILLE, TN 37203
Internal Medicine
2001 CHARLOTTE AVE, STE 101
NASHVILLE, TN 37203
Nurse Practitioner
2001 CHARLOTTE AVE, SUITE # 205
NASHVILLE, TN 37203
Nurse Practitioner
2001 CHARLOTTE AVE, SUITE # 205
NASHVILLE, TN 37203
Internal Medicine (Rheumatology)
2001 CHARLOTTE AVE, SUITE #102
NASHVILLE, TN 37203
Internal Medicine (Infectious Disease)
2001 CHARLOTTE AVE, SUITE 101
NASHVILLE, TN 37203

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 Lagrone's NPI number?

The NPI number for Robert Lagrone is 1417903378. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Robert Lagrone located?

Robert Lagrone practices at 2001 Charlotte Ave Suite #102, Nashville, TN 37203. The listed phone number is (615) 321-3277.

What is Robert Lagrone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Robert Lagrone enrolled in Medicare?

Yes. Robert Lagrone 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 Lagrone accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Robert Lagrone 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.

When was this NPI record last updated?

The NPPES record for Robert Lagrone was last updated on April 20, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.