Individual provider Active NPI

Robert P Waugh, MD

  • Orthopaedic Surgery Physician
  • Stoneham, MA
National Provider Identifier
1003950569
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35C.003050 Issued in OH
Practice address
92 Montvale Ave
Stoneham, MA 02180-3647
Phone
(781) 279-7040
Fax
(781) 279-8340
NPI assigned
Feb 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) Physician 2086S0105X 265203 MA
Orthopaedic Surgery Physician 207X00000X 35C.003050 OH Primary
Surgery of the Hand (Surgery) Physician 2086S0105X MD61233140 WA
Orthopaedic Hand Surgery Physician 207XS0106X 22698 ND
Orthopaedic Surgery Physician 207X00000X 141560 MT

Addresses

Primary practice location

92 Montvale Ave
Stoneham, MA 02180-3647

Mailing address

92 Montvale Ave Ste 1400
Stoneham, MA 02180-3629
Phone (781) 279-7040

Other practice location 1

16528 E Desmet Ct
Spokane Valley, WA 99216-3522
Phone (509) 944-8920

Other practice location 2

2400 Miami Valley Dr Ste 280
Centerville, OH 45459-4774
Phone (937) 435-4263

Other identifiers 2

IdentifierTypeStateIssuer
30209642MedicaidNH
001733301OtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, WA, MT, OH, ND, WY, SD7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20161021000742 MA Practitioner - Orthopedic Surgery 7113043183 Reassigns benefits to 1 organization
I20211215002745 WA Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 7113043183 Reassigns benefits to 2 organizations
I20240531001974 MT Practitioner - Orthopedic Surgery 7113043183 Reassigns benefits to 1 organization
I20251016001972 OH Practitioner - Orthopedic Surgery 7113043183 Reassigns benefits to 1 organization
I20251104001314 ND Practitioner - Hand Surgery 7113043183 Reassigns benefits to 1 organization
I20260407002603 WY Practitioner - Orthopedic Surgery 7113043183 Reassigns benefits to 2 organizations
I20260421004002 SD Practitioner - Orthopedic Surgery 7113043183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Massachusetts Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital of Sweetwater CountyGroup PAC ID 0244124550, 70 clinicians
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians

Practice addresses (Care Compare)

1180 College Dr
Rock Springs, WY 82901-5863
Phone (307) 352-8125

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

1720 University Dr S
Fargo, ND 58103-4940
Phone (701) 234-2000

300 N 7TH St
Bismarck, ND 58501-4439

5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575

Hospital & facility affiliations

  • Memorial Hospital Sweetwater County Hospital, Rock Springs, WY, CCN 531318
  • Sanford Medical Center Fargo Hospital, Fargo, ND, CCN 350011
  • Grays Harbor Community Hospital Hospital, Aberdeen, WA, CCN 500031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
141560MTMDOrthopaedic Surgery Physician
22698NDMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo Orthopaedic Surgery CurrentSince Aug 11, 2025 Accepting new patients
Benefis Hospitals Inc CurrentSince May 24, 2024 Accepting new patients
Beth Israel Lahey Health Primary Care Inc CurrentSince Nov 12, 2018 Accepting new patients
Grays Harbor Community Hospital CurrentSince Jul 28, 2025 Accepting new patients
GHCH Physician Services, LLC Orthopaedic Surgery CurrentSince Jul 28, 2025 Accepting new patients
Benefis Hospitals, Inc. CurrentSince May 24, 2024 Accepting new patients
Premier Health Specialists Inc CurrentSince Aug 28, 2025 Accepting new patients
Beth Israel Lahey Health Primary Care, Inc. CurrentSince Nov 12, 2018 Accepting new patients
Sanford Medical Center Fargo CurrentSince Aug 11, 2025 Accepting new patients
Providence Health & Services Washington CurrentSince Dec 29, 2023 Accepting new patients
Premier Health Specialists Inc CurrentSince Aug 28, 2025 Accepting new patients
Premier Health Specialists Inc Current Accepting new patients
Sanford Medical Center Fargo Past Accepting new patients

Locations

480 Maple St
Danvers, MA 01923
Phone (978) 304-8380

15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650

1720 University Dr S
Fargo, ND 58103
Phone (701) 280-4140

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

2400 Miami Valley Dr
Ste 280
Centerville, OH 45459
Phone (937) 435-4263

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

1211 Skyview Dr
Aberdeen, WA 98520
Phone (360) 532-3808

1006 N H St
Aberdeen, WA 98520
Phone (360) 537-6032

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

319 E Pioneer Ave
Montesano, WA 98563
Phone (360) 249-1980

16528 E Desmet Ct
Ste B2200
Spokane Valley, WA 99216
Phone (509) 944-8920

Networks

  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • KY PPO
  • OH PPO

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1003950569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 MONTVALE AVE STE 1400",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803629",
            "telephone_number": "781-279-7040",
            "fax_number": "781-279-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 MONTVALE AVE",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803647",
            "telephone_number": "781-279-7040",
            "fax_number": "781-279-8340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16528 E Desmet Ct",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992163522",
            "country_code": "US",
            "telephone_number": "509-944-8920",
            "fax_number": "509-227-7070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Miami Valley Dr Ste 280",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454594774",
            "country_code": "US",
            "telephone_number": "937-435-4263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAUGH",
        "first_name": "ROBERT",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-17",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "MA",
            "license": "265203",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35C.003050",
            "primary": true
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "WA",
            "license": "MD61233140",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "ND",
            "license": "22698",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MT",
            "license": "141560",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30209642",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "001733301",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

Verify at the official NPI Registry.