DR. ROBERT EDWARD BILBAO M.D.
NPI 1568817286
Family Medicine in Murfreesboro, TN

Active since May 02, 2016PECOS EnrolledAccepts Medicare Assignment
2723 NEW SALEM HWY, MURFREESBORO, TN 37128(615) 396-6850(615) 396-6855 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2022, Nov 29, 2021, Apr 5, 2021 and 2 more (5 updates tracked since 2019).

About Dr. Robert Edward Bilbao M.d. NPPES

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

DR. ROBERT EDWARD BILBAO M.D. (NPI 1568817286) is an individual family medicine provider in Murfreesboro, Tennessee, licensed in Tennessee (59464) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1568817286
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROBERT EDWARD BILBAOCredential: M.D.
Location Address2723 NEW SALEM HWYMurfreesboro, TN 37128-5253
Mailing Address6300 Tower Cir Apt 2Franklin, TN 37067-1515 · (305) 766-3919
Fax(615) 396-6855
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 2, 2016
Last NPPES UpdateOctober 4, 20225 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
NPI 1568817286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TN · 59464 Licensed in TX · R6525
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.
2723 NEW SALEM HWY, Murfreesboro, TN 37128

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

Dr. Robert Edward Bilbao M.d. 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 ID1850689563
PECOS Enrollment IDI20191114002641
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.

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.
153 services119 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.
55 services55 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 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.
30 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37128 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
8 suppliers26 claims84 services$6.34 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims14 services$0.99 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers19 claims19 services$190.94 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 20

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

Nurse Practitioner
2723 NEW SALEM HWY
MURFREESBORO, TN 37128
Clinic/Center (Primary Care)
2723 NEW SALEM HWY
MURFREESBORO, TN 37128
Family Medicine
2723 NEW SALEM HWY
MURFREESBORO, TN 37128
Dietitian, Registered
2723 NEW SALEM HWY
MURFREESBORO, TN 37128
Pharmacist (Ambulatory Care)
2723 NEW SALEM HWY
MURFREESBORO, TN 37128
Dietitian, Registered
2723 NEW SALEM HWY
MURFREESBORO, TN 37128
Family Medicine
2723 NEW SALEM HWY
MURFREESBORO, TN 37128
Nurse Practitioner
2723 NEW SALEM HWY
MURFREESBORO, TN 37128

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 Bilbao's NPI number?

The NPI number for Robert Bilbao is 1568817286. It was assigned to this individual provider in the NPPES registry on May 2, 2016.

Where is Robert Bilbao located?

Robert Bilbao practices at 2723 New Salem Hwy, Murfreesboro, TN 37128. The listed phone number is (615) 396-6850.

What is Robert Bilbao's specialty?

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

Is Robert Bilbao enrolled in Medicare?

Yes. Robert Bilbao 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 Bilbao accept?

Health plans from Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and Oscar Insurance Company list Robert Bilbao 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 Bilbao was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.