ROBERT SKIDMORE PHD LLC
NPI 1720558604
Counselor - Professional in Medford, OR
About Robert Skidmore Phd Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBERT SKIDMORE PHD LLC (NPI 1720558604) is a healthcare organization registered as a professional in Medford, Oregon and active in the NPI registry since December 2018. The organization lists Robert Skidmore, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Robert Skidmore Phd Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Robert Skidmore Phd LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Skidmore Phd LLC's NPI number?
The NPI number for Robert Skidmore Phd LLC is 1720558604. It was assigned to this organization in the NPPES registry on December 4, 2018.
Where is Robert Skidmore Phd LLC located?
Robert Skidmore Phd LLC is located at 18 Portland Ave, Medford, OR 97504. The listed phone number is (541) 500-8655.
What is Robert Skidmore Phd LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Robert Skidmore Phd LLC enrolled in Medicare?
Yes. Robert Skidmore Phd LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Robert Skidmore Phd LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Robert Skidmore Phd LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Robert Skidmore Phd LLC accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Robert Skidmore Phd LLC 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 Skidmore Phd LLC was last updated on December 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Robert Skidmore Phd Llc · NPI 1720558604
Professional organization in Medford, Oregon. Organization record, active in the CMS NPPES registry since December 4, 2018.
## Identity
- **NPI:** 1720558604 (Entity type: Organization)
- **Enumerated:** December 4, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Robert Skidmore, OWNER
## Practice location
- **Address:** 18 PORTLAND AVE, Medford, OR 97504-7309
- **Phone:** (541) 500-8655
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 4, 2018
- **Other identifiers:** Medicaid 500722503 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1720558604) · Data from the CMS NPPES public registry.