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ROBERT MCCAULEY M.D.
NPI 1992920466
Internal Medicine - Endocrinology, Diabetes & Metabolism in Allentown, PA

Active since April 17, 2007PECOS EnrolledAccepts Medicare Assignment
1243 S CEDAR CREST BLVD, SUITE 2800, ALLENTOWN, PA 18103(610) 402-6790 Get Directions Write a Review

NPPES record last updated: November 18, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Robert Mccauley M.d. NPPES

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

ROBERT MCCAULEY M.D. (NPI 1992920466) is an individual endocrinology, diabetes & metabolism provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD439294) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Schuylkill Medical Center - South Jackson Street, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1992920466
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameROBERT MCCAULEYCredential: M.D.
Location Address1243 S CEDAR CREST BLVD, SUITE 2800Allentown, PA 18103-6268
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311
Phone(610) 402-6790
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 17, 2007
Last NPPES UpdateNovember 18, 2015
✔ NPI 1992920466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in PA · MD439294
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

1243 S CEDAR CREST BLVD, Allentown, PA 18103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Robert Mccauley 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 ID4486786183
PECOS Enrollment IDI20100813000209
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 8

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, 30-39 minutes 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.
281 services201 patients
Follow-up hospital inpatient care per day, typically 25 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.
158 services74 patients
Initial hospital inpatient care per day, typically 50 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.
37 services36 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
35 services32 patients
New patient office or other outpatient visit, 45-59 minutes 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.
23 services23 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
19 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Schuylkill Medical Center - South Jackson Street

Acute Care Hospitals · Pottsville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390030
Location420 South Jackson StreetPottsville, PA 17901 · Schuylkill County
Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Geisinger St. Luke's Hospital

Acute Care Hospitals · Orwigsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390332
Location100 Paramount BoulevardOrwigsburg, PA 17961 · Schuylkill County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 6

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers29 claims373 services$18.53 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers29 claims905 services$2.38 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
33 suppliers89 claims379 services$5.31 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
16 suppliers36 claims70 services$0.83 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
6 suppliers21 claims2,020 services$6.97 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
10 suppliers251 claims255 services$188.80 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.

BARBARA ANN WHITE ATC, CSCS
Specialist/Technologist (Athletic Trainer)
1243 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 663-8469
GAYLE S. BURKHART PHYSICAL THERAPIST
Physical Therapist
1243 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 437-9880
DR. CARMINE JOHN PELLOSIE D.O., M.P.H.
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
1243 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-9230
CHARLES THEODORE BONOS III M.D.
Preventive Medicine (Occupational Medicine)
1243 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-9230
MS. MARGARET ANN HAYN MSN, CRNP
Nurse Practitioner (Family)
1243 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-9200
MS. DONNA G BODEN RD
Dietitian, Registered
1243 S CEDAR CREST BLVD, SUITE 300
ALLENTOWN, PA 18103
Lehigh County (610) 402-4783
TOBACCO TREATMENT PROGRAM
Counselor (Addiction (Substance Use Disorder))
1243 S CEDAR CREST BLVD, SUITE 300
ALLENTOWN, PA 18103
Lehigh County (610) 402-2490
DONNA GILBERT CRNP
Nurse Practitioner (Family)
1243 S CEDAR CREST BLVD, SUITE 2800
ALLENTOWN, PA 18103
Lehigh County (610) 402-6790

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 Mccauley's NPI number?

The NPI number for Robert Mccauley is 1992920466. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Robert Mccauley located?

Robert Mccauley practices at 1243 S Cedar Crest Blvd Suite 2800, Allentown, PA 18103. The listed phone number is (610) 402-6790.

What is Robert Mccauley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Robert Mccauley enrolled in Medicare?

Yes. Robert Mccauley 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 Mccauley accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Robert Mccauley 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 Mccauley affiliated with any hospitals?

According to CMS data, Robert Mccauley is affiliated with Schuylkill Medical Center - South Jackson Street, St Luke's Hospital Bethlehem, Lehigh Valley Hospital and Geisinger St. Luke's Hospital.

When was this NPI record last updated?

The NPPES record for Robert Mccauley was last updated on November 18, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.