1. Home
  2. Directory
  3. New York
  4. Salem
  5. Family Medicine
  6. NPI Profile

ROBERT SOUTHERLAND MD
NPI 1730613514
Family Medicine in Salem, NY

Active since April 18, 2017PECOS EnrolledAccepts Medicare Assignment
1830 COUNTY ROUTE 64, SALEM, NY 12865(518) 824-2571(833) 438-0104 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 13, 2026, May 23, 2025, Dec 23, 2024 and 4 more (7 updates tracked since 2017).

About Robert Southerland Md NPPES

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

ROBERT SOUTHERLAND MD (NPI 1730613514) is an individual family medicine provider in Salem, New York, licensed in New York (306326) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2017).

NPPES Registry Identity

NPI1730613514
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT SOUTHERLANDCredential: MD
Location Address1830 COUNTY ROUTE 64Salem, NY 12865-3404
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300
Phone(518) 824-2571
Fax(833) 438-0104
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2017
Enumeration DateApril 18, 2017
Last NPPES UpdateMarch 13, 20267 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
✔ NPI 1730613514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 306326
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.
1830 COUNTY ROUTE 64, Salem, NY 12865
Open in Google Maps ↗

Other Identifiers 1

Medicaid06215383NY

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 Southerland Md 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 ID7810240181
PECOS Enrollment IDI20181102001933, I20201026001432
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.

Hospital Affiliations CMS Care Compare 2

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12865 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims13 services$14.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier17 claims17 services$82.92 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
4 suppliers12 claims1,795 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers14 claims14 services$25.97 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 2

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

ANJE C VAN BERCKELAER MD
Family Medicine
1830 COUNTY ROUTE 64
SALEM, NY 12865
Washington County (518) 824-2571
HUDSON HEADWATERS HEALTH NETWORK
Clinic/Center (Primary Care)
1830 COUNTY ROUTE 64
SALEM, NY 12865
Washington County (518) 824-2571

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 Southerland's NPI number?

The NPI number for Robert Southerland is 1730613514. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Where is Robert Southerland located?

Robert Southerland practices at 1830 County Route 64, Salem, NY 12865. The listed phone number is (518) 824-2571.

What is Robert Southerland's specialty?

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

Is Robert Southerland enrolled in Medicare?

Yes. Robert Southerland 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.

Is Robert Southerland affiliated with any hospitals?

According to CMS data, Robert Southerland is affiliated with Albany Medical Center Hospital and Glens Falls Hospital.

When was this NPI record last updated?

The NPPES record for Robert Southerland was last updated on March 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.