MR. ROBERT PRIDAY MILDENHALL MD
NPI 1750692042
Internal Medicine - Pulmonary Disease in Murfreesboro, TN

Active since July 01, 2010PECOS EnrolledAccepts Medicare Assignment
1800 MEDICAL CENTER PKWY STE 310, MURFREESBORO, TN 37129(615) 849-9868 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 21, 2023, Jul 21, 2022, Jun 22, 2017 (3 updates tracked since 2017).

About Mr. Robert Priday Mildenhall Md NPPES

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

MR. ROBERT PRIDAY MILDENHALL MD (NPI 1750692042) is an individual pulmonary disease provider in Murfreesboro, Tennessee, licensed in Tennessee (55388) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Sumner Regional Medical Center, and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1750692042
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMR. ROBERT PRIDAY MILDENHALLCredential: MD
Location Address1800 MEDICAL CENTER PKWY STE 310Murfreesboro, TN 37129-2586
Mailing Address300 20th Ave N Ste 403Nashville, TN 37203-5180 · (615) 284-4088 · Fax (615) 284-7501
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 1, 2010
Last NPPES UpdateMarch 21, 20233 updates tracked since enumeration
NPPES CertifiedMarch 21, 2023
NPI 1750692042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in TN · 55388
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 55388 (TN)
1800 MEDICAL CENTER PKWY STE 310, Murfreesboro, TN 37129

Secondary Practice Location 1

Location 13443 Dickerson Pike Ste 680Nashville, TN 37207-2537 · Phone (615) 865-3322 · Fax (615) 467-6692

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

Mr. Robert Priday Mildenhall 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 ID1153557855
PECOS Enrollment IDI20170912000329
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 13

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
159 services97 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
157 services81 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.
82 services60 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
44 services42 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
44 services42 patients
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.
41 services35 patients

Hospital Affiliations CMS Care Compare 3

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

Sumner Regional Medical Center

Acute Care Hospitals · Gallatin, TN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number440003
Location555 Hartsville PikeGallatin, TN 37066 · Sumner County
Emergency services Birthing friendly

Saint Thomas Rutherford Hospital

Acute Care Hospitals · Murfreesboro, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440053
Location1700 Medical Center ParkwayMurfreesboro, TN 37129 · Rutherford County
Emergency services Birthing friendly

Saint Thomas River Park Hospital

Acute Care Hospitals · Mcminnville, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440151
Location1559 Sparta StreetMcminnville, TN 37110 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37129 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
95%309 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 19

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers32 claims32 services$33.30 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers16 claims16 services$77.57 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers16 claims45 services$31.53 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers16 claims87 services$12.68 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers26 claims26 services$47.11 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers23 claims23 services$14.33 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 13

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

Internal Medicine (Pulmonary Disease)
1800 MEDICAL CENTER PKWY STE 310
MURFREESBORO, TN 37129
Internal Medicine (Pulmonary Disease)
1800 MEDICAL CENTER PKWY STE 310
MURFREESBORO, TN 37129
Internal Medicine (Pulmonary Disease)
1800 MEDICAL CENTER PKWY STE 310
MURFREESBORO, TN 37129
Internal Medicine (Pulmonary Disease)
1800 MEDICAL CENTER PKWY STE 310
MURFREESBORO, TN 37129
Nurse Practitioner (Acute Care)
1800 MEDICAL CENTER PKWY STE 310
MURFREESBORO, TN 37129
Internal Medicine (Critical Care Medicine)
1800 MEDICAL CENTER PKWY STE 310
MURFREESBORO, TN 37129
Specialist
1800 MEDICAL CENTER PKWY STE 310
MURFREESBORO, TN 37129
Internal Medicine (Pulmonary Disease)
1800 MEDICAL CENTER PKWY STE 310
MURFREESBORO, TN 37129

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 Mildenhall's NPI number?

The NPI number for Robert Mildenhall is 1750692042. It was assigned to this individual provider in the NPPES registry on July 1, 2010.

Where is Robert Mildenhall located?

Robert Mildenhall practices at 1800 Medical Center Pkwy Ste 310, Murfreesboro, TN 37129. The listed phone number is (615) 849-9868.

What is Robert Mildenhall's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Robert Mildenhall enrolled in Medicare?

Yes. Robert Mildenhall 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 Mildenhall accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Robert Mildenhall 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 Mildenhall affiliated with any hospitals?

According to CMS data, Robert Mildenhall is affiliated with Sumner Regional Medical Center, Saint Thomas Rutherford Hospital and Saint Thomas River Park Hospital.

When was this NPI record last updated?

The NPPES record for Robert Mildenhall was last updated on March 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.