ROBERT LAMAR RICE M.D.
NPI 1699720136
Internal Medicine - Hematology & Oncology in Finksburg, MD

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
79.54/100
CMS Quality Rating
2781 CRYSTAL WOODS DR, FINKSBURG, MD 21048(410) 259-7939 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 30, 2024, Dec 14, 2023 (2 updates tracked since 2023).

About Robert Lamar Rice M.d. NPPES

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

ROBERT LAMAR RICE M.D. (NPI 1699720136) is an individual hematology & oncology provider in Finksburg, Maryland, licensed in Utah (14149242-1235) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St James Healthcare, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699720136
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameROBERT LAMAR RICECredential: M.D.
Location Address2781 CRYSTAL WOODS DRFinksburg, MD 21048-3000
Mailing Address2781 Crystal Woods DrFinksburg, MD 21048-3000 · (410) 259-7939
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2000
Enumeration DateMay 23, 2006
Last NPPES UpdateSeptember 30, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1699720136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in UT · 14149242-1235✔ Licensed in PA · MD429014
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License D64597 (MD)
2781 CRYSTAL WOODS DR, Finksburg, MD 21048

Secondary Practice Locations 2

Location 11000 McKinley Park DrMarion, OH 43302-6399 · Phone (740) 383-8605
Location 2801 OhioHealth BlvdDelaware, OH 43015 · Phone (740) 615-0227

Other Identifiers 3

Medicaid410335100MD
Medicaid410335101MD
Medicaid1016977890001PA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert Lamar Rice 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 ID7810900305
PECOS Enrollment IDI20241028001328, I20251014002391, I20251031004192, I20260513002094
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

12

Medicare enrollment records show Robert Rice reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
8109 RITCHIE HWY, SUITE 100
Pasadena, MD 21122
  • Reassigned Medicare billing, Maryland enrollment
  • 794 clinicians in this Medicare group
Clinic/Center
1300 N 500 E #130, LOGAN REGIONAL ORTHOPEDICS
Logan, UT 84341
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
Family Medicine
210 W 300 N 7-3
Roosevelt, UT 84066
  • Reassigned Medicare billing, Utah enrollment
  • 78 clinicians in this Medicare group
Rural Health
214 S MAIN ST
Boulder, MT 59632
  • Reassigned Medicare billing, Montana enrollment
  • 278 clinicians in this Medicare group
Skilled Nursing Facility
909 WEST 450 SOUTH
Springville, UT 84663
  • Reassigned Medicare billing, Utah enrollment
  • Also billed through NPI 1740519370 (Utah)
  • 46 clinicians in this Medicare group
Critical Access
64 EAST 100 NORTH
Gunnison, UT 84634
  • Reassigned Medicare billing, Utah enrollment
  • 16 clinicians in this Medicare group
Surgery
2102 IDAHO STREET
Elko, NV 89801
  • Reassigned Medicare billing, Nevada enrollment
  • 14 clinicians in this Medicare group
General Practice
2102 IDAHO STREET
Elko, NV 89801
  • Reassigned Medicare billing, Nevada enrollment
  • 3 clinicians in this Medicare group
Rural Health
2135 S SUB STATION RD
Emmett, ID 83617
  • Reassigned Medicare billing, Idaho enrollment
  • Also billed through NPI 1063419018 (Idaho)
  • 61 clinicians in this Medicare group
Internal Medicine
595 W LAKE MEAD PKWY
Henderson, NV 89015
  • Reassigned Medicare billing, Nevada enrollment
  • 521 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

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.
101 services45 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.
66 services52 patients

Hospital Affiliations CMS Care Compare 4

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

St James Healthcare

Acute Care Hospitals · Butte, MT
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270017
Location400 S Clark StButte, MT 59701 · Silver Bow County
Emergency services Birthing friendly

Northeastern Nevada Regional Hospital

Acute Care Hospitals · Elko, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number290008
Location2001 Errecart BlvdElko, NV 89801 · Elko County
Emergency services Birthing friendly

William Bee Ririe Hospital

Critical Access Hospitals · Ely, NV
OwnershipGovernment - Hospital District or Authority
CMS Certification Number291302
Location1500 Avenue HEly, NV 89301 · White Pine County
Emergency services

St. George Regional Hospital

Acute Care Hospitals · St George, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460021
Location1380 East Medical Center DriveSt George, UT 84790 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21048 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
$183.44 typical visit price
range $60.73 – $183.44
Typical copayment $45.86 (range $15.18 – $45.86)
Most-billed visit code 99205
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

79.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.02
Promoting Interoperability97
Improvement Activities40
Cost65.27

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 Rice's NPI number?

The NPI number for Robert Rice is 1699720136. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Robert Rice located?

Robert Rice practices at 2781 Crystal Woods Dr, Finksburg, MD 21048. The listed phone number is (410) 259-7939.

What is Robert Rice's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Robert Rice enrolled in Medicare?

Yes. Robert Rice 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.

Which organizations bill Medicare for Robert Rice's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Rice reassigns Medicare benefits to 12 organizations: Luminis Health Medical Group, LLC (Pasadena, MD), Ihc Health Services Inc (Logan, UT), Northeastern Utah Medical Group (Roosevelt, UT), Scl Health Medical Group-Butte LLC (Boulder, MT), Kane County Human Resource Special Service District (Springville, UT) and 7 more organizations, listed in the Medicare section above. 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 Rice's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Rice accept?

Health plans from Antidote Health Plan of Ohio, Inc., Blue Cross and Blue Shield of Montana, BridgeSpan Health Company, Molina Healthcare and Providence Health Plan and 3 other insurers list Robert Rice 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 Rice affiliated with any hospitals?

According to CMS data, Robert Rice is affiliated with St James Healthcare, Northeastern Nevada Regional Hospital, William Bee Ririe Hospital and St. George Regional Hospital.

When was this NPI record last updated?

The NPPES record for Robert Rice was last updated on September 30, 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.