Active NPI
Robert G Kloepper, M.D.
- Orthopaedic Surgery Physician
- Roseburg, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD153308
- Practice address
- 2460 NW Stewart Pkwy Ste 100
Roseburg, OR 97471 - Phone
- (541) 229-2663
- Fax
- (541) 229-0213
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD153308 | OR | Primary |
Addresses
Primary practice location
2460 NW Stewart Pkwy Ste 100
Roseburg, OR 97471
Mailing address
2801 NW Mercy Dr Ste 340
Roseburg, OR 97471-2348
Phone (541) 677-4319
Other practice location 1
277 NW Medical Loop
Roseburg, OR 97471-1644
Phone (541) 677-2131
Other practice location 2
2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Phone (541) 677-4501
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D5338 | Medicaid | UT | |
| 326484120000 | Other | UT | BLUE CROSS OF UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110119000787 | OR | Practitioner - Orthopedic Surgery | 8224923354 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of California, Davis School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centennial Medical Group Inc
Practice addresses (Care Compare)
2460 NW Stewart Pkwy
Roseburg, OR 97471-1516
2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Phone (541) 677-2452
Hospital & facility affiliations
- Mercy Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.4 of 100
- Quality
- 67.01
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 78.48
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD153308 | OR | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonspirit Oregon | Current | Accepting new patients | |
| Commonspirit Oregon | Current | Accepting new patients | |
| Centennial Medical Group Inc. | Current | Accepting new patients | |
| Centennial Medical Group North, LLC | Orthopaedic Surgery | Past | Accepting new patients |
| Centennial Medical Group Inc. | Past | Accepting new patients |
Locations
201 NW Medical Loop
Ste 190
Roseburg, OR 97471
Phone (541) 644-4319
2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611
2460 NW Stewart Pkwy
Ste 100
Roseburg, OR 97471
Phone (541) 229-2663
2801 NW Mercy Dr
Ste 340
Roseburg, OR 97471
Phone (541) 677-2494
Organizations & group practices 5
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.
-
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- NPI 1811038367
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- NPI 1033365135
-
- Orthopaedic Surgery Physician
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- NPI 1063722262
Orthopaedic Surgery
Hospital & facility affiliations 1
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": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600732800000",
"number": "1295705481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 NW MERCY DR STE 340",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974712348",
"telephone_number": "541-677-4319",
"fax_number": "541-677-2294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2460 NW STEWART PKWY STE 100",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "97471",
"telephone_number": "541-229-2663",
"fax_number": "541-229-0213"
}
],
"practiceLocations": [
{
"address_1": "277 NW Medical Loop",
"address_purpose": "LOCATION",
"city": "Roseburg",
"state": "OR",
"postal_code": "974711644",
"country_code": "US",
"telephone_number": "541-677-2131",
"fax_number": "541-677-2136",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2700 NW Stewart Pkwy",
"address_purpose": "LOCATION",
"city": "Roseburg",
"state": "OR",
"postal_code": "974711281",
"country_code": "US",
"telephone_number": "541-677-4501",
"fax_number": "541-677-1560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLOEPPER",
"first_name": "ROBERT",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2020-09-22",
"certification_date": "2020-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OR",
"license": "MD153308",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D5338",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF UT",
"identifier": "326484120000",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.