ROBERT JAMES WOODRUFF M.D.
NPI 1669513552
Orthopaedic Surgery in Rapid City, SD

Active since February 12, 2007PECOS EnrolledAccepts Medicare Assignment
80.71/100
CMS Quality Rating
7220 MOUNT RUSHMORE RD, RAPID CITY, SD 57702(605) 341-1414(605) 341-7062 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 22, 2024, Jan 17, 2023, Jul 25, 2018 (3 updates tracked since 2018).

About Robert James Woodruff M.d. NPPES

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

ROBERT JAMES WOODRUFF M.D. (NPI 1669513552) is an individual orthopaedic surgery provider in Rapid City, South Dakota, licensed in South Dakota (8204) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Chadron Community Hospital And Health Services, and is a graduate of University Of Minnesota Medical School (2006).

NPPES Registry Identity

NPI1669513552
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameROBERT JAMES WOODRUFFCredential: M.D.
Location Address7220 MOUNT RUSHMORE RDRapid City, SD 57702
Mailing AddressPo Box 6850Rapid City, SD 57709-6850 · (605) 341-1414 · Fax (605) 341-7062
Fax(605) 341-7062
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2006
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJuly 22, 20243 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
NPI 1669513552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in SD · 8204
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
7220 MOUNT RUSHMORE RD, Rapid City, SD 57702

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 James Woodruff 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 ID6002088184
PECOS Enrollment IDI20120712000199, I20141115000378
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 17

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.
330 services251 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
157 services143 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
84 services43 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
61 services52 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
59 services17 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.
49 services49 patients

Hospital Affiliations CMS Care Compare 5

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

Chadron Community Hospital And Health Services

Critical Access Hospitals · Chadron, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281341
Location825 Centennial DriveChadron, NE 69337 · Dawes County
Emergency services

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Black Hills Surgical Hospital LLP

Acute Care Hospitals · Rapid City, SD
OwnershipProprietary
CMS Certification Number430091
Location216 Anamaria DrRapid City, SD 57703 · Pennington County

Campbell County Health

Acute Care Hospitals · Gillette, WY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number530002
Location501 South Burma AvenueGillette, WY 82716 · Campbell County
Emergency services

Weston County Health Services

Critical Access Hospitals · Newcastle, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531303
Location1124 Washington BoulevardNewcastle, WY 82701 · Weston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57702 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
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.

80.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.89
Improvement Activities40
Cost79.91

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.

Physical Therapist
7220 MOUNT RUSHMORE RD
RAPID CITY, SD 57702
Orthopaedic Surgery
7220 MOUNT RUSHMORE RD
RAPID CITY, SD 57702
Orthopaedic Surgery
7220 MOUNT RUSHMORE RD
RAPID CITY, SD 57702
Orthopaedic Surgery
7220 MOUNT RUSHMORE RD
RAPID CITY, SD 57702
Nurse Practitioner
7220 MOUNT RUSHMORE RD
RAPID CITY, SD 57702
Physician Assistant
7220 MOUNT RUSHMORE RD
RAPID CITY, SD 57702
Physical Therapist
7220 MOUNT RUSHMORE RD
RAPID CITY, SD 57702
Physician Assistant
7220 MOUNT RUSHMORE RD
RAPID CITY, SD 57702

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 Woodruff's NPI number?

The NPI number for Robert Woodruff is 1669513552. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Robert Woodruff located?

Robert Woodruff practices at 7220 Mount Rushmore Rd, Rapid City, SD 57702. The listed phone number is (605) 341-1414.

What is Robert Woodruff's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Robert Woodruff enrolled in Medicare?

Yes. Robert Woodruff 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 Woodruff accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of Wyoming, Medica, Oscar Insurance Company and Sanford Health Plan list Robert Woodruff 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.

Is Robert Woodruff affiliated with any hospitals?

According to CMS data, Robert Woodruff is affiliated with Chadron Community Hospital And Health Services, Monument Health Rapid City Hospital, Black Hills Surgical Hospital LLP, Campbell County Health and Weston County Health Services.

When was this NPI record last updated?

The NPPES record for Robert Woodruff was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.