Individual provider Active NPI

Robert Bruce Redmon, M.D.

  • Specialist
  • Culpeper, VA
National Provider Identifier
1386632073
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101035447 Issued in VA
Practice address
633 Sunset LN
Suite B
Culpeper, VA 22701-3942
Phone
(540) 829-8484
Fax
(540) 829-6699
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME74122 FL
Specialist 174400000X 0101035447 VA Primary

Addresses

Primary practice location

633 Sunset LN
Suite B
Culpeper, VA 22701-3942

Mailing address

633 Sunset LN
Suite B
Culpeper, VA 22701-3942
Phone (540) 829-8484

Other practice location 1

272 Hospital Rd Ste G70
Chillicothe, OH 45601-9031
Phone (740) 779-4393

Other identifiers 7

IdentifierTypeStateIssuer
2386428OtherFLAETNA HMO
593671648OtherFLTAX ID
252821500MedicaidFL
1386632073MedicaidVA
8267136009OtherFLCIGNA INS
5758627OtherFLAETNA POS
42279OtherFLBLUE CROSS BLUE SHEILD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena.ent@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, OH2 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
I20190717003156 ME Practitioner - Otolaryngology 3173605177 Reassigns benefits to 1 organization
I20240910003431 OH Practitioner - Otolaryngology 3173605177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Louisiana State University School of Medicine in New Orleans, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

272 Hospital Rd
Suite G70
Chillicothe, OH 45601-9031
Phone (740) 779-4393

Hospital & facility affiliations

  • Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159

Merit-based Incentive Payment System (MIPS)

Final score
82.93 of 100Reported as group
Quality
64.42
Promoting interoperability
99
Improvement activities
40
Cost
73.2

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101035447VAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC CurrentSince Jun 23, 2024 Accepting new patients
Eastern Maine Medical Center CurrentSince Jul 7, 2019 Accepting new patients
Eastern Maine Medical Center CurrentSince Jul 7, 2019 Accepting new patients
Culpeper Medical Associates, LLC Past Accepting new patients
Culpeper Specialist Physicians, LLC Specialist Past Accepting new patients
Culpeper Physicians Group, LLC Past Accepting new patients
University of Virginia Physicians Group PastSince Jun 19, 2023 Accepting new patients

Locations

489 State St
Bangor, ME 04401
Phone (207) 973-8837

272 Hospital Rd
Ste G70
Chillicothe, OH 45601
Phone (740) 779-4393

272 Hospital Rd
Ste 6
Chillicothe, OH 45601

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Interoperability endpoints

  • Direct secure messaging: rredmon1180984@direct.osumc.edu

Organizations & group practices 7

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.

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1386632073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 SUNSET LN",
            "address_2": "SUITE B",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013942",
            "telephone_number": "540-829-8484",
            "fax_number": "540-829-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 SUNSET LN",
            "address_2": "SUITE B",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013942",
            "telephone_number": "540-829-8484",
            "fax_number": "540-829-6699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "272 Hospital Rd Ste G70",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "456019031",
            "country_code": "US",
            "telephone_number": "740-779-4393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDMON",
        "first_name": "ROBERT",
        "middle_name": "BRUCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME74122",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101035447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2386428",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "593671648",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252821500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386632073",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA INS",
            "identifier": "8267136009",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA POS",
            "identifier": "5758627",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "42279",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.ent@adena.medicity.net",
            "affiliation": "N",
            "address_1": "272 Hospital Rd Ste G70",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456019031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Culpeper, VA

Sources for this page

Verify at the official NPI Registry.