Individual provider Active NPI

Robert Sumner Pilcher, M.D.,PHD

  • Orthopaedic Surgery Physician
  • Waycross, GA
National Provider Identifier
1376549170
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
32273 Issued in GA
Practice address
1908 Alice St
Waycross, GA 31501-6208
Phone
(912) 338-6010
Fax
(912) 287-2796
NPI assigned
Jun 27, 2005
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 37067 AL
Orthopaedic Surgery Physician 207X00000X ME138683 FL
Orthopaedic Surgery Physician 207X00000X 32273 GA Primary

Addresses

Primary practice location

1908 Alice St
Waycross, GA 31501-6208

Mailing address

1908 Alice St
Waycross, GA 31501-6208
Phone (912) 338-6010

Other practice location 1

6262 Veterans Pkwy
Columbus, GA 31909-3540
Phone (706) 324-6661

Other practice location 2

117 Oakland Pkwy
Leesburg, GA 31763-7201
Phone (294) 201-8392

Other practice location 3

341 Racetrack Rd NW Ste B
Fort Walton Beach, FL 32547-1788
Phone (850) 226-8112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 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
I20031126000156 GA Practitioner - Orthopedic Surgery 6901700798 Reassigns benefits to 1 organization
I20181008003523 AL Practitioner - Orthopedic Surgery 6901700798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Memorial Satilla Specialists, LLCGroup PAC ID 5991074957, 19 clinicians

Practice addresses (Care Compare)

1908 Alice St
Waycross, GA 31501-6208
Phone (912) 338-6010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement19
Knee replacement17
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
033273GAMDPharmacist
37067ALMDOrthopaedic Surgery Physician
32273GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Satilla Specialists, LLC CurrentSince Apr 1, 2021 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Mayo Clinic Health System in Waycross, Inc. Past Accepting new patients

Locations

316 Shirley Ave
Douglas, GA 31533
Phone (912) 383-0815

1908 Alice St
Waycross, GA 31501
Phone (912) 338-6010

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: robert.pilcher@hca5.eclinicaldirectplus.com
  • Direct secure messaging: rpilcher@yourcarecommunity.org

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 2

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1376549170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 ALICE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016208",
            "telephone_number": "912-338-6010",
            "fax_number": "912-287-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 ALICE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016208",
            "telephone_number": "912-338-6010",
            "fax_number": "912-287-2796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6262 Veterans Pkwy",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319093540",
            "country_code": "US",
            "telephone_number": "706-324-6661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 Oakland Pkwy",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "GA",
            "postal_code": "317637201",
            "country_code": "US",
            "telephone_number": "294-201-8392",
            "fax_number": "229-483-0601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "341 Racetrack Rd NW Ste B",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325471788",
            "country_code": "US",
            "telephone_number": "850-226-8112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PILCHER",
        "first_name": "ROBERT",
        "middle_name": "SUMNER",
        "name_prefix": "Dr.",
        "credential": "M.D.,PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "37067",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME138683",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "32273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.