NPIMap

Individual provider Active NPI

Michael D Robbins, M.D.

  • Family Medicine Physician
  • Fredericktown, MO
National Provider Identifier
1881705564
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2001019992 Issued in MO
Practice address
355 N Chamber Dr
Fredericktown, MO 63645-7947
Phone
(573) 944-7231
Fax
(573) 561-1166
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036105498 IL
Family Medicine Physician 207Q00000X 2001019992 MO Primary

Addresses

Primary practice location

355 N Chamber Dr
Fredericktown, MO 63645-7947

Mailing address

355 N Chamber Dr
Fredericktown, MO 63645-7947
Phone (573) 944-7231

Other identifiers 1

IdentifierTypeStateIssuer
036105498MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101228000458 MO Practitioner - Family Practice 4981758224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Columbia School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robbins Family Healthcare LLCGroup PAC ID 6103051412, 2 clinicians

Practice addresses (Care Compare)

115 S Wood Ave
Fredericktown, MO 63645-1348
Phone (573) 561-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.55 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
88.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions13
Removal of nail tissue22
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robbins Family Healthcare LLC Family Medicine CurrentSince Aug 1, 2013 Accepting new patients
Chester Clinic Professional Corp. Family Medicine CurrentSince Aug 5, 2002 Accepting new patients
Chester Clinic Professional Corp Family Medicine Current Accepting new patients

Locations

2319 Old Plank Rd
Chester, IL 62233
Phone (618) 826-2388

602 W Shawneetown Trl
Steeleville, IL 62288
Phone (618) 865-3382

115 S Wood Ave
Fredericktown, MO 63645
Phone (573) 561-2300

355 N Chamber Dr
Fredericktown, MO 63645
Phone (573) 561-2300

Organizations & group practices 3

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 9

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1881705564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 N CHAMBER DR",
            "city": "FREDERICKTOWN",
            "state": "MO",
            "postal_code": "636457947",
            "telephone_number": "573-944-7231",
            "fax_number": "573-561-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 N CHAMBER DR",
            "city": "FREDERICKTOWN",
            "state": "MO",
            "postal_code": "636457947",
            "telephone_number": "573-944-7231",
            "fax_number": "573-561-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036105498",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2001019992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036105498",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericktown, MO

Sources for this page

Verify at the official NPI Registry.