Individual provider Active NPI

Robert M Pickering, M.D.

  • Orthopaedic Surgery Physician
  • Olive Branch, MS
National Provider Identifier
1124015821
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
27978 Issued in TN
Practice address
9085 Sandidge Center CV
Olive Branch, MS 38654-3575
Phone
(901) 861-9610
Fax
(901) 861-9611
NPI assigned
Sep 29, 2005
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 27978 TN Primary

Addresses

Primary practice location

9085 Sandidge Center CV
Olive Branch, MS 38654-3575

Mailing address

PO Box 1866
Collierville, TN 38027-1866
Phone (662) 890-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20080505000074 MS Practitioner - Orthopedic Surgery 0648359554 Reassigns benefits to 1 organization
I20080530000515 TN Practitioner - Orthopedic Surgery 0648359554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Mississippi School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9085 Sandidge Ctr CV
Olive Branch, MS 38654-3575
Phone (662) 890-2663

99 Market Ctr Dr
Collierville, TN 38017-7196
Phone (901) 861-9610

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.56 of 100Reported as individual
Quality
74.64
Improvement activities
40
Cost
79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement46
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27978TNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoone Sports Medicine & Orthopaedics, PLLC CurrentSince Apr 1, 2013 Accepting new patients
Campbell Clinic, PC Orthopaedic Surgery Past Accepting new patients
CC Bpci PLC Orthopaedic Surgery Past Accepting new patients

Locations

9085 Sandidge Center Cv
Ste 100
Olive Branch, MS 38654
Phone (662) 890-2663

99 Market Center Dr
Collierville, TN 38017
Phone (901) 853-1174

Interoperability endpoints

  • Direct secure messaging: clinical@orthoone.directbygreenway.com
  • Direct secure messaging: rpickering32384@mlh.direct-ci.com

Organizations & group practices 4

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

Hospital & facility affiliations 4

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1124015821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1866",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380271866",
            "telephone_number": "662-890-2663",
            "fax_number": "662-890-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9085 SANDIDGE CENTER CV",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386543575",
            "telephone_number": "901-861-9610",
            "fax_number": "901-861-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKERING",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "27978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

Verify at the official NPI Registry.