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ROBERT J. POMPHREY MD
NPI 1861495152
Family Medicine in Lexington, TN

Active since May 31, 2005PECOS Enrolled
16615 HIGHWAY 104 N STE B, LEXINGTON, TN 38351(731) 968-0660(731) 968-0007 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2021, Jul 15, 2020, Mar 1, 2019 (3 updates tracked since 2019).

About Robert J. Pomphrey Md NPPES

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

ROBERT J. POMPHREY MD (NPI 1861495152) is an individual family medicine provider in Lexington, Tennessee, licensed in Tennessee (MD29910) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861495152
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT J. POMPHREYCredential: MD
Location Address16615 HIGHWAY 104 N STE BLexington, TN 38351-5753
Mailing Address1014 Bell Store RdGleason, TN 38229-6418 · (731) 571-8960
Phone(731) 968-0660
Fax(731) 968-0007
Sole ProprietorNo
Enumeration DateMay 31, 2005
Last NPPES UpdateJanuary 27, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2021
✔ NPI 1861495152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · MD29910
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.
16615 HIGHWAY 104 N STE B, Lexington, TN 38351
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Other Identifiers 2

MedicaidQ055139TN
OtherMD29910TN · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert J. Pomphrey Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
39 services39 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
29 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38351 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
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.

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.

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
2 suppliers20 claims20 services$107.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Pomphrey's NPI number?

The NPI number for Robert Pomphrey is 1861495152. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Robert Pomphrey located?

Robert Pomphrey practices at 16615 Highway 104 N Ste B, Lexington, TN 38351. The listed phone number is (731) 968-0660.

What is Robert Pomphrey's specialty?

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

Is Robert Pomphrey enrolled in Medicare?

Yes. Robert Pomphrey is registered in the Medicare PECOS enrollment system.

What insurance does Robert Pomphrey accept?

Health plans from Oscar Insurance Company list Robert Pomphrey 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 Pomphrey was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.