DR. ROBERT LEE ROBERTS D.O. NPI 1649280371

Otolaryngology (Otolaryngology/Facial Plastic Surgery) in Clackamas, OR

NPI 1649280371 Individual Male Years of Experience 30 Otolaryngology Otolaryngology/Facial Plastic Surgery PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About ROBERT ROBERTS

Robert Roberts is a provider established in Clackamas, Oregon and his medical specialization is otolaryngology (otolaryngology/facial plastic surgery) with more than 30 years of experience. He graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 1992. The NPI number of Robert Roberts is 1649280371 and was assigned on August 2006. The practitioner's primary taxonomy code is 207YX0905X with license number DO20647 (OR). The provider is registered as an individual and his NPI record was last updated 7 years ago.

Robert Roberts is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Robert Roberts is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with St Charles Medical Center - Bend, St Charles Prineville and St Charles Redmond.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: chronic care and preventative care management for empaneled patients, implementation of medication management practice improvements and use of decision support and standardized treatment protocols. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1649280371

Provider NameDR. ROBERT LEE ROBERTS D.O.
Provider Location Address9280 SE SUNNYBROOK BLVD SUITE 300 CLACKAMAS, OR 97015
Provider Mailing Address9280 SE SUNNYBROOK BLVD SUITE 300 CLACKAMAS, OR 97015
GenderMale
NPI Entity TypeIndividual
Medical School NameDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year1992
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-08-2006
Last Update Date03-18-2015


Primary Taxonomy

Taxonomy Code207YX0905X
ClassificationOtolaryngology
TypeAllopathic & Osteopathic Physicians
SpecializationOtolaryngology/Facial Plastic Surgery
License No.DO20647
License StateOR
Taxonomy DescriptionAn otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Business Address

DR. ROBERT LEE ROBERTS D.O.
9280 SE SUNNYBROOK BLVD
SUITE 300
CLACKAMAS, OR
ZIP 97015
Phone: (503) 233-5548
Fax: (503) 230-1009

Get Directions


Mailing Address

DR. ROBERT LEE ROBERTS D.O.
9280 SE SUNNYBROOK BLVD
SUITE 300
CLACKAMAS, OR
ZIP 97015
Phone: (503) 233-5548
Fax: (503) 230-1009



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID2961424932
PECOS Enrollment IDI20120116000076
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 521Injection of allergenic extracts into skin, accessed through the skin (HCPCS:95004)
  • 478Injection of allergenic extracts into skin for immediate reaction analysis (HCPCS:95024)
  • 54Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube (HCPCS:95811)
  • 37Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)
  • 30Sleep monitoring of patient (6 years or older) in sleep lab (HCPCS:95810)
  • 13Removal of impact ear wax, one ear (HCPCS:69210)
  • 11Observation, testing, and recording of abnormal eye movement (HCPCS:92540)
  • 11Assessment and recording of balance system during irrigation of both ears (HCPCS:92543)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Robert Roberts is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ST CHARLES MEDICAL CENTER - BEND2500 NE NEFF ROAD
BEND, OR 97701
(541) 382-4321Acute Care Hospitals380047
ST CHARLES PRINEVILLE384 SE COMBS FLAT ROAD
PRINEVILLE, OR 97754
(541) 447-6254Critical Access Hospitals381313
ST CHARLES REDMOND1253 NW CANAL BLVD
REDMOND, OR 97756
(541) 548-8131Acute Care Hospitals380040

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
109149MEDICARE ID-TYPE UNSPECIFIED (04)
150377MEDICAID (05)OR
G01591MEDICARE UPIN (02)

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861825820PROVIDENCE HEALTH & SERVICES - OREGON
Organization
Clinic/Center9280 SE SUNNYBROOK BLVD SUITE 200
CLACKAMAS, OR 97015
(503) 513-1900
1972543106 JAMES CHAN MD
Individual
Otolaryngology (Otolaryngology/Facial Plastic Surgery)9280 SE SUNNYBROOK BLVD SUITE 300
CLACKAMAS, OR 97015
(503) 233-5548
1356548903 HILLARY ELIZABETH RACHEL LOWENSTEIN M.D.
Individual
Psychiatry & Neurology (Sleep Medicine)9280 SE SUNNYBROOK BLVD SUITE 300
CLACKAMAS, OR 97015
(503) 233-5548
1053649475CLACKAMAS RADIATION ONCOLOGY CENTER, LLC
Organization
Clinic/Center (Oncology, Radiation)9280 SE SUNNYBROOK BLVD SUITE 100
CLACKAMAS, OR 97015
(503) 215-1837
1366435372 JAMIE R ZILVERBERG FNP
Individual
Nurse Practitioner (Family)9280 SE SUNNYBROOK BLVD STE 200
CLACKAMAS, OR 97015
(503) 513-1900
1447451794 SHANE O ROGOSIN MD
Individual
Internal Medicine (Medical Oncology)9280 SE SUNNYBROOK BLVD STE 200
CLACKAMAS, OR 97015
(503) 513-1900
1689836108PROVIDENCE HEALTH & SERVICES - OREGON
Organization
Clinic/Center9280 SE SUNNYBROOK BLVD SUITE 200
CLACKAMAS, OR 97015
(503) 513-1900

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.