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DR. ROBERT MIDDLETON MD
NPI 1790734960
Internal Medicine - Pulmonary Disease in Jackson, MS

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
971 LAKELAND DR, SUITE 1052, JACKSON, MS 39216(601) 914-9503(601) 981-7895 Get Directions Write a Review

NPPES record last updated: October 31, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert Middleton Md NPPES

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

DR. ROBERT MIDDLETON MD (NPI 1790734960) is an individual pulmonary disease provider in Jackson, Mississippi, licensed in Mississippi (13782) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Merit Health River Region, and is a graduate of University Of South Alabama College Of Medicine (1988).

NPPES Registry Identity

NPI1790734960
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. ROBERT MIDDLETONCredential: MD
Location Address971 LAKELAND DR, SUITE 1052Jackson, MS 39216-4643
Mailing Address971 Lakeland Drive, Suite 1052Jackson, MS 39216-2706 · (601) 914-9503 · Fax (601) 981-7895
Phone(601) 914-9503
Fax(601) 981-7895
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 1988
Enumeration DateMay 8, 2006
Last NPPES UpdateOctober 31, 2011
✔ NPI 1790734960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in MS · 13782
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.
971 LAKELAND DR, Jackson, MS 39216
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN810000004MS
Medicare UPINC73762MS
Medicaid00120557MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Plan, Inc..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

Dr. Robert Middleton 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 ID5294782447
PECOS Enrollment IDI20050331000450
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 5

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.

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.
89 services30 patients
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.
62 services36 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services32 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
25 services14 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
15 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Merit Health River Region

Acute Care Hospitals · Vicksburg, MS
2/5 CMS rating
OwnershipProprietary
CMS Certification Number250031
Location2100 Hwy 61 NVicksburg, MS 39183 · Warren County
Emergency services Birthing friendly

Southwest Ms Regional Medical Center

Acute Care Hospitals · Mccomb, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250097
Location215 Marion Av Box 1307Mccomb, MS 39649 · Pike County
Emergency services Birthing friendly

Franklin County Memorial Hospital

Critical Access Hospitals · Meadville, MS
OwnershipGovernment - Local
CMS Certification Number251330
Location40 Union Church RdMeadville, MS 39653 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers19 claims19 services$775.93 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 20

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

BEN W. SEALE, M.D., PLLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
971 LAKELAND DR, SUITE 450
JACKSON, MS 39216
Hinds County (601) 948-5158
EDWIN P SUDDUTH M.D.
Anesthesiology
971 LAKELAND DR, SUITE 202
JACKSON, MS 39216
Hinds County (601) 362-1990
JACKSON GYNECOLOGIC ONCOLOGY PLLC
Obstetrics & Gynecology (Gynecology)
971 LAKELAND DR, STE 750
JACKSON, MS 39216
Hinds County (601) 987-3033
D TIMOTHY CANNON M.D.
Specialist
971 LAKELAND DR, SUITE 1052
JACKSON, MS 39216
Hinds County (601) 981-9503
JAMIE DOUGLAS MCCOLLUM M.D.
Anesthesiology
971 LAKELAND DR, SUIITE 202
JACKSON, MS 39216
Hinds County (601) 362-1990
DAVID WESTBROOK M.D.
Specialist
971 LAKELAND DR, SUITE 1052
JACKSON, MS 39216
Hinds County (601) 981-9503
MS. JACQUELINE M. ROBINSON MS, CCC-A; F/AAA
Audiologist
971 LAKELAND DR, SUITE 854
JACKSON, MS 39216
Hinds County (601) 981-2825
MRS. KRISTIE CALLAHAN FNP-C
Nurse Practitioner (Family)
971 LAKELAND DR, SUITE 557
JACKSON, MS 39216
Hinds County (601) 200-4560

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 Middleton's NPI number?

The NPI number for Robert Middleton is 1790734960. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Robert Middleton located?

Robert Middleton practices at 971 Lakeland Dr Suite 1052, Jackson, MS 39216. The listed phone number is (601) 914-9503.

What is Robert Middleton's specialty?

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

Is Robert Middleton enrolled in Medicare?

Yes. Robert Middleton 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 Middleton accept?

Health plans from Molina Healthcare and Oscar Health Plan, Inc. list Robert Middleton 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 Middleton affiliated with any hospitals?

According to CMS data, Robert Middleton is affiliated with Merit Health River Region, Southwest Ms Regional Medical Center and Franklin County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Robert Middleton was last updated on October 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.