Robert William Lightfoot
Individual provider Active NPI Surgery Physician · Ripley, WV
NPI 1891258786 · NPPES record last updated Jul 26, 2024
Key facts
- NPI
- 1891258786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 34123 (WV)
- Practice address
- 122 Pinnell St
Ripley, WV 25271-9101 - Phone
- (304) 373-1578
- NPI assigned
- Apr 9, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- University of South Alabama College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Association
Practice addresses (Care Compare)
122 Pinnell St
Morad Hughes Health Ctr
Ripley, WV 25271-9101
Phone (304) 373-1578
Hospital & facility affiliations
- Jackson General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240808004093 | WV | Practitioner - General Practice | 4587993910 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Association | Current |
Accepting new patients | |
| Community Health Association | Current |
Accepting new patients | |
| Community Health Association | Current |
Accepting new patients | |
| Community Health Association | Past | Accepting new patients |
Locations
122 Pinnell St
Ripley, WV 25271
Phone (304) 373-1544
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | 34123 | WV | Yes |
Addresses
Primary practice location
122 Pinnell St
Ripley, WV 25271-9101
Mailing address
2620 Charleston Oaks Dr W
Mobile, AL 36695-2514
Other practice location 1
3200 MacCorkle Ave SE Fl 4
Charleston, WV 25304
Phone (304) 388-8238
Other practice location 2
3200 MacCorkle Ave SE Fl 4
Charleston, WV 25304
Phone (304) 388-8238
Other providers in Ripley, WV
- Jesse Kramer
- Kroger Limited Partnership I
- Christina Landis
- Kassie Lawless
- Thomas H Layne III
- Patricia Mary Link
- Steven Lough
- Paige Lovejoy
- Shayla Ludwig
- Matthew Lung
All providers in Ripley, WV · Surgery Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.