DR. ROBBYN O'CONNOR UPHAM MD
NPI 1497985089
Family Medicine in Dallastown, PA

Q: What is Robbyn Upham's NPI number?

The NPI number for Robbyn Upham is 1497985089. It was assigned to this individual provider in the NPPES registry on July 17, 2009.

Q: What is Robbyn Upham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Robbyn Upham was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 17, 2009PECOS EnrolledAccepts Medicare Assignment

76.84/100

CMS Quality Rating

755 S PLEASANT AVE, DALLASTOWN, PA 17313(717) 851-1300(717) 461-7137 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2026, Dec 1, 2025, Mar 21, 2023 (3 updates tracked since 2023).

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About Dr. Robbyn O'connor Upham Md NPPES

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

DR. ROBBYN O'CONNOR UPHAM MD (NPI 1497985089) is an individual family medicine provider in Dallastown, Pennsylvania, licensed in Pennsylvania (MD477602) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and maintains a secondary practice location in York.

NPPES Registry Identity

NPI1497985089

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ROBBYN O'CONNOR UPHAMCredential: MD

Location Address755 S PLEASANT AVEDallastown, PA 17313-9252

Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405

Phone(717) 851-1300

Fax(717) 461-7137

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJuly 17, 2009

Last NPPES UpdateApril 15, 20263 updates tracked since enumeration

NPPES CertifiedApril 15, 2026

✔ NPI 1497985089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD477602

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

755 S PLEASANT AVE, Dallastown, PA 17313

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Secondary Practice Location 1

Location 12003 Springwood RdYork, PA 17403-4836 · Phone (717) 851-2521 · Fax (717) 260-3330

Other Identifiers 1

Medicaid03948001NY

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. Robbyn O'connor Upham 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 ID8224268271

PECOS Enrollment IDI20240814001759

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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

62 services48 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

17 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

13 services12 patients

Hospital Affiliations CMS Care Compare

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

Wellspan York Hospital

Acute Care Hospitals · York, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390046

Location1001 South George StreetYork, PA 17403 · York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17313 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

76.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.2

Promoting Interoperability

100

Improvement Activities

Cost

42.68

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

2 suppliers11 claims22 services$5.98 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$39.90 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

TANA YOUNG CRNP

Nurse Practitioner (Family)