ROBERT F GRAVES MD
NPI 1992886212
Urology in Sidney, NE

NPI Status: Active since October 17, 2006

Contact Information

1000 POLE CREEK XING
SIDNEY, NE
ZIP 69162
Phone: (308) 254-5825
Fax: (970) 347-8865

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  • Individual
  • Male
  • Urology
  • Accepts Insurance
  • PECOS Enrolled

About ROBERT GRAVES

This page provides the complete NPI Profile along with additional information for Robert Graves, a provider established in Sidney, Nebraska with a medical specialization in Urology. The healthcare provider is registered in the NPI registry with number 1992886212 assigned on October 2006. The practitioner's primary taxonomy code is 208800000X with license number 21510 (NE). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1992886212
Provider Name
ROBERT F GRAVES MD
Gender
Male
Entity Type
Individual
Location Address
1000 POLE CREEK XING SIDNEY, NE 69162
Location Phone
(308) 254-5825
Location Fax
(970) 347-8865
Mailing Address
PO BOX 202 SIDNEY, NE 69162
Mailing Phone
(308) 641-2101
Mailing Fax
(970) 347-8865
Is Sole Proprietor?
No
Enumeration Date
10-17-2006
Last Update Date
02-14-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
License No.
21510
License State
NE
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Bronze Classic - EPO
  • Bronze Classic | with Bryan Health - EPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Classic Standard | with Bryan Health - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Elite + PCP Saver Plus | with Bryan Health - EPO
  • Bronze Simple Diabetes - EPO
  • Bronze Simple Diabetes | with Bryan Health - EPO
  • Gold Classic Standard - EPO
  • Gold Classic Standard | with Bryan Health - EPO
  • Gold Elite - EPO
  • Gold Elite | with Bryan Health - EPO
  • Secure - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Classic Standard | with Bryan Health - EPO
  • Silver Simple Diabetes - EPO
  • Silver Simple Diabetes | with Bryan Health - EPO
  • Silver Simple PCP Saver - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
10025486400MEDICAID (05)NE 
115539300MEDICAID (05)WY 
098637070MEDICARE PIN (08) 

Medicare Participation & PECOS Enrollment Status

Robert Graves is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Medical/Surgical Supplies (DA000N)

    Lubricant, individual sterile packet, each (HCPCS:A4332)

    2 DME suppliers used 27 Medicare Claims 4530 Services Paid

Orthotic Devices

  • DME-Orthotic Devices (DF008N)

    Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each (HCPCS:A4351)

    9 DME suppliers used 44 Medicare Claims 8520 Services Paid

  • DME-Orthotic Devices (DF008N)

    Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each (HCPCS:A4352)

    3 DME suppliers used 20 Medicare Claims 2670 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Diagnostic exam of bladder and urethra using an endoscope

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

This service was performed 36 times for 34 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 206 times for 146 patients

New patient office or other outpatient visit, 30-44 minutes

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.

This service was performed 40 times for 40 patients

Prostate resection

Prostate resection is a procedure performed to alleviate discomfort caused by an enlarged prostate. This involves removing a portion of the prostate gland to ease pressure on the urinary tract, improving urine flow and reducing symptoms. It's performed under general or spinal anesthesia.

This service was performed for 1-10 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 69162 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $121.35
  • Minimum New Patient Price $52.69
  • Maximum New Patient Price $160.21
  • Average New Patient Copayment $30.33
  • Minimum New Patient Copayment $13.17
  • Maximum New Patient Copayment $40.05

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66
  • Minimum Established Patient Price $16.9
  • Maximum Established Patient Price $131.25
  • Average Established Patient Copayment $16.5
  • Minimum Established Patient Copayment $4.22
  • Maximum Established Patient Copayment $32.81

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1992886212, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 8 → 16 → 7 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 8 + 2 + 1 + 6 + 8 + 1 + 2 + 2 + 2 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1992886212.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinic/Center (Rural Health)
1000 POLE CREEK XING, STE 1
SIDNEY, NE 69162
Physician Assistant
1000 POLE CREEK XING
SIDNEY, NE 69162
Occupational Therapist
1000 POLE CREEK XING, REHABILITATION
SIDNEY, NE 69162
Physician Assistant (Surgical)
1000 POLE CREEK XING
SIDNEY, NE 69162
Nurse Anesthetist, Certified Registered
1000 POLE CREEK XING
SIDNEY, NE 69162
Nurse Anesthetist, Certified Registered
1000 POLE CREEK XING
SIDNEY, NE 69162
Physician Assistant
1000 POLE CREEK XING
SIDNEY, NE 69162
Pharmacist
1000 POLE CREEK XING
SIDNEY, NE 69162
Pharmacist
1000 POLE CREEK XING
SIDNEY, NE 69162
Physical Therapy Assistant
1000 POLE CREEK XING
SIDNEY, NE 69162
Family Medicine
1000 POLE CREEK XING
SIDNEY, NE 69162
Physician Assistant
1000 POLE CREEK XING
SIDNEY, NE 69162
Internal Medicine
1000 POLE CREEK XING
SIDNEY, NE 69162
Internal Medicine
1000 POLE CREEK XING
SIDNEY, NE 69162
Physician Assistant
1000 POLE CREEK XING
SIDNEY, NE 69162
Internal Medicine (Hematology & Oncology)
1000 POLE CREEK XING
SIDNEY, NE 69162
Family Medicine (Adult Medicine)
1000 POLE CREEK XING
SIDNEY, NE 69162
Nurse Practitioner (Family)
1000 POLE CREEK XING
SIDNEY, NE 69162
Pharmacy (Community/Retail Pharmacy)
1000 POLE CREEK XING
SIDNEY, NE 69162
Internal Medicine (Cardiovascular Disease)
1000 POLE CREEK XING
SIDNEY, NE 69162

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992886212, enumerated as an "individual" on October 17, 2006.

The provider is located at 1000 POLE CREEK XING SIDNEY, NE 69162 and the phone number is (308) 254-5825.

Urology with taxonomy code 208800000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Nebraska, Medica,. Please consult your insurance carrier or call the provider to verify.