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DR. ROBERT KENNETH OLDHAM MD
NPI 1548255334
Internal Medicine - Medical Oncology in Crestview, FL

Active since September 17, 2005PECOS Enrolled
82.91/100
CMS Quality Rating
601 REDSTONE AVE W, CRESTVIEW, FL 32536(850) 683-0003 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Jan 17, 2019, Dec 5, 2017 (3 updates tracked since 2017).

About Dr. Robert Kenneth Oldham Md NPPES

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

DR. ROBERT KENNETH OLDHAM MD (NPI 1548255334) is an individual medical oncology provider in Crestview, Florida, licensed in Florida (ME109647) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lynn Haven.

NPPES Registry Identity

NPI1548255334
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameDR. ROBERT KENNETH OLDHAMCredential: MD
Location Address601 REDSTONE AVE WCrestview, FL 32536-6439
Mailing Address2900 S Highway 77Lynn Haven, FL 32444-5612 · (850) 481-1687 · Fax (850) 640-0761
Phone(850) 683-0003
Sole ProprietorNo
Enumeration DateSeptember 17, 2005
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1548255334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in FL · ME109647
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License ME109647 (FL), TMP2722 (WV)
601 REDSTONE AVE W, Crestview, FL 32536
Open in Google Maps ↗

Secondary Practice Location 1

Location 12900 S Highway 77Lynn Haven, FL 32444-5612 · Phone (850) 481-1687 · Fax (850) 640-0761

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert Kenneth Oldham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Robert Oldham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cooperative Healthcare Services Inc
303 mi
Clinic/Center
2415 PARKWOOD DR
Brunswick, GA 31520
  • Reassigned Medicare billing, Georgia enrollment
  • 339 clinicians in this Medicare group
NPI 1417979402 (912) 466-7000
North Brevard Medical Support, Inc
377 mi
Multi-Specialty
250 HARRISON ST
Titusville, FL 32780
  • Reassigned Medicare billing, Florida enrollment
  • 184 clinicians in this Medicare group
NPI 1609834886 (321) 268-6868

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32536 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

82.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.08
Promoting Interoperability96
Improvement Activities40
Cost72.3

Other Providers at the Same Location NPPES

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

DR. ESSAM YACOUB MALATY MD
Internal Medicine (Hematology & Oncology)
601 REDSTONE AVE W
CRESTVIEW, FL 32536
Okaloosa County (850) 683-0003

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 Oldham's NPI number?

The NPI number for Robert Oldham is 1548255334. It was assigned to this individual provider in the NPPES registry on September 17, 2005.

Where is Robert Oldham located?

Robert Oldham practices at 601 Redstone Ave W, Crestview, FL 32536. The listed phone number is (850) 683-0003.

What is Robert Oldham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Robert Oldham enrolled in Medicare?

Yes. Robert Oldham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Robert Oldham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Oldham reassigns Medicare benefits to 2 organizations: Cooperative Healthcare Services Inc (Brunswick, GA) and North Brevard Medical Support, Inc (Titusville, FL). 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 Oldham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Robert Oldham was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.