1. Home
  2. Directory
  3. California
  4. Modesto
  5. Specialist
  6. NPI Profile

DR. ROBERT EDWARD CATON M.D.
NPI 1861593196
Specialist in Modesto, CA

Active since September 26, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D1093165 · Waiver
1524 MCHENRY AVE, SUITE 515, MODESTO, CA 95350(209) 491-5370(209) 491-5379 Get Directions Write a Review

NPPES record last updated: May 29, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Robert Edward Caton M.d. NPPES

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

DR. ROBERT EDWARD CATON M.D. (NPI 1861593196) is an individual specialist in Modesto, California, licensed in California (G48633) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through December 10, 2026, and is a graduate of University Of South Alabama College Of Medicine (1980).

NPPES Registry Identity

NPI1861593196
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. ROBERT EDWARD CATONCredential: M.D.
Location Address1524 MCHENRY AVE, SUITE 515Modesto, CA 95350-4500
Mailing Address1524 Mchenry Ave, Suite 515Modesto, CA 95350 · (209) 491-5370 · Fax (209) 491-5379
Phone(209) 491-5370
Fax(209) 491-5379
Sole ProprietorYes
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 1980
Enumeration DateSeptember 26, 2006
Last NPPES UpdateMay 29, 2012
✔ NPI 1861593196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G48633
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1524 MCHENRY AVE, Modesto, CA 95350
Open in Google Maps ↗

Other Identifiers 3

MedicaidGR0021000CA
Medicare PIN00G486330CA
Medicare UPINA51123CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert Edward Caton M.d. 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 ID7517043466
PECOS Enrollment IDI20090904000562
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Robert Caton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Golden Valley Health Center
Same address
Federally Qualified Health Center (FQHC)
1524 MCHENRY AVE STE 565
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Golden Valley Health Centers
  • 440 clinicians in this Medicare group
NPI 1134727746 (866) 682-4842
County Of Stanislaus
1.4 mi
Urgent Care
830 SCENIC DR, SUITE B
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • 59 clinicians in this Medicare group
NPI 1427254663 (209) 558-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1093165

Robert E Caton, MD · Modesto, CA
Active · expires Dec 10, 2026
CLIA Number05D1093165
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2024
Certificate Expiration DateDecember 10, 2026
Laboratory DirectorRobert E. Caton, MD
Laboratory Phone(209) 491-5370
Laboratory LocationRobert E Caton, MD1524 Mchenry Ave Ste 515, Modesto, CA 95350
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.

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.
102 services62 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
44 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients

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.

ROBERT RALPH ANDERSON M.D.
Radiology (Diagnostic Radiology)
1524 MCHENRY AVE, SUITE 100
MODESTO, CA 95350
Stanislaus County (209) 577-4444
KEVIN TAE IL WHANG M.D.
Radiology (Diagnostic Radiology)
1524 MCHENRY AVE
MODESTO, CA 95350
Stanislaus County (209) 577-4444
SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF MODESTO
Pediatrics
1524 MCHENRY AVE, 570
MODESTO, CA 95350
Stanislaus County (209) 572-3880
HARVEY F PALITZ MD A PROFESSIONAL CORPORATION
Obstetrics & Gynecology
1524 MCHENRY AVE, SUITE 405
MODESTO, CA 95350
Stanislaus County (209) 575-5885
PAUL JONATHAN RAMIREZ M.D.
Radiology (Diagnostic Radiology)
1524 MCHENRY AVE, SUITE 430
MODESTO, CA 95350
Stanislaus County (209) 577-4444
MICHAEL R. KLIEGER MD
Radiology (Diagnostic Radiology)
1524 MCHENRY AVE, SUITE 100
MODESTO, CA 95350
Stanislaus County (209) 571-6622
MATTHEW DAVID LYNN M.D.
Radiology (Diagnostic Radiology)
1524 MCHENRY AVE, SUITE 100
MODESTO, CA 95350
Stanislaus County (209) 577-4444
SARGON BEBLA MD INC
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1524 MCHENRY AVE, SUITE 370
MODESTO, CA 95350
Stanislaus County (315) 299-8150

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 Caton's NPI number?

The NPI number for Robert Caton is 1861593196. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Robert Caton located?

Robert Caton practices at 1524 Mchenry Ave Suite 515, Modesto, CA 95350. The listed phone number is (209) 491-5370.

What is Robert Caton's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Robert Caton enrolled in Medicare?

Yes. Robert Caton 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.

Which organizations bill Medicare for Robert Caton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Caton reassigns Medicare benefits to 2 organizations: Golden Valley Health Center (Modesto, CA) and County Of Stanislaus (Modesto, CA). Each 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 Robert Caton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Robert Caton hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1093165) is associated with this NPI, valid through December 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Robert Caton was last updated on May 29, 2012. 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.