DR. ROBERT R RADCLIFFE M.D.
NPI 1891756854
Surgery in Iowa City, IA

Q: What is Robert Radcliffe's NPI number?

The NPI number for Robert Radcliffe is 1891756854. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Q: What is Robert Radcliffe's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Radcliffe was last updated on March 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since March 30, 2006PECOS EnrolledAccepts Medicare Assignment

510 E BLOOMINGTON ST, IOWA CITY, IA 52245(319) 338-9247(319) 338-2785 Get Directions Write a Review

NPPES record last updated: March 11, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Robert R Radcliffe M.d. NPPES

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

DR. ROBERT R RADCLIFFE M.D. (NPI 1891756854) is an individual surgery provider in Iowa City, Iowa, licensed in Iowa (32997) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Iowa Health Care Medical Center Down, and is a graduate of Creighton University School Of Medicine (1994).

NPPES Registry Identity

NPI1891756854

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. ROBERT R RADCLIFFECredential: M.D.

Location Address510 E BLOOMINGTON STIowa City, IA 52245-2803

Mailing Address510 E Bloomington StIowa City, IA 52245-2803 · (319) 338-9247 · Fax (319) 338-2785

Phone(319) 338-9247

Fax(319) 338-2785

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 1994

Enumeration DateMarch 30, 2006

Last NPPES UpdateMarch 11, 2008

✔ NPI 1891756854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in IA · 32997

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

510 E BLOOMINGTON ST, Iowa City, IA 52245

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Other Identifiers 4

Medicare UPINH05443IA

Medicaid0191312IA

Other49549IA · Blue Cross #

Medicare ID-Type Unspecified49549IA · Medicare #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..Insurance ›

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 R Radcliffe 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 ID8426187113

PECOS Enrollment IDI20100518000369

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

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

Surgical Services, PC

Same address

Surgery

510 E BLOOMINGTON ST
Iowa City, IA 52245

Reassigned Medicare billing, Iowa enrollment
4 clinicians in this Medicare group

NPI 1215997739 (319) 338-9247

Triple R Wound Care PLLC

0.1 mi

Public Health & General Preventive Medicine

500 E MARKET ST
Iowa City, IA 52245

Reassigned Medicare billing, Iowa enrollment

NPI 1538036371 (319) 339-3621

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

Areas of Expertise CMS Part B claims 11

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.

75 services54 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.

55 services23 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.

54 services17 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.

46 services41 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

29 services11 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.

26 services26 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.

24 services24 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

21 services18 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

14 services14 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

13 services11 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Iowa Health Care Medical Center Down

Acute Care Hospitals · Iowa City, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number160029

Location500 E Market StreetIowa City, IA 52245 · Johnson County

Emergency services Birthing friendly

University Of Iowa Hospital & Clinics

Acute Care Hospitals · Iowa City, IA

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number160058

Location200 Hawkins DriveIowa City, IA 52242 · Johnson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52245 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

Most-billed visit code 99213

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

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%262 patients5/55-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.

Other Providers at the Same Location NPPES 3

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

SURGICAL SERVICES, PC

Surgery

510 E BLOOMINGTON ST
IOWA CITY, IA 52245

Johnson County (319) 338-9247

TIMOTHY D LIGHT MD

Surgery (Trauma Surgery)

510 E BLOOMINGTON ST
IOWA CITY, IA 52245

Johnson County (319) 338-9247

DR. RICK A SHELMAN MD

Surgery

510 E BLOOMINGTON ST
IOWA CITY, IA 52245

Johnson County (319) 338-9247

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 Radcliffe's NPI number?

The NPI number for Robert Radcliffe is 1891756854. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is Robert Radcliffe located?

Robert Radcliffe practices at 510 E Bloomington St, Iowa City, IA 52245. The listed phone number is (319) 338-9247.

What is Robert Radcliffe's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Robert Radcliffe enrolled in Medicare?

Yes. Robert Radcliffe 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 Radcliffe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Radcliffe reassigns Medicare benefits to 2 organizations: Surgical Services, PC (Iowa City, IA) and Triple R Wound Care PLLC (Iowa City, IA). 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 Radcliffe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Radcliffe accept?

Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Robert Radcliffe 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 Radcliffe affiliated with any hospitals?

According to CMS data, Robert Radcliffe is affiliated with University Of Iowa Health Care Medical Center Down and University Of Iowa Hospital & Clinics.

When was this NPI record last updated?

The NPPES record for Robert Radcliffe was last updated on March 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.