ROBERT H PAPADOPOULOS M.D.
NPI 1235142951
Surgery in Arcadia, CA
NPI Status: Active since August 14, 2006
Contact Information
612 W DUARTE RD
SUITE 602
ARCADIA, CA
ZIP 91007
Phone: (626) 446-4645
Fax: (626) 446-1626
- Individual
- Male
- Surgery
- PECOS Enrolled
- Medicare Quality Reporting
About ROBERT PAPADOPOULOS
This page provides the complete NPI Profile along with additional information for Robert Papadopoulos, a provider established in Arcadia, California with a medical specialization in Surgery. The healthcare provider is registered in the NPI registry with number 1235142951 assigned on August 2006. The practitioner's primary taxonomy code is 208600000X with license number G57027 (CA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1235142951
- Provider Name
- ROBERT H PAPADOPOULOS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 612 W DUARTE RD SUITE 602 ARCADIA, CA 91007
- Location Phone
- (626) 446-4645
- Location Fax
- (626) 446-1626
- Mailing Address
- 612 W DUARTE RD SUITE 602 ARCADIA, CA 91007
- Mailing Phone
- (626) 446-4645
- Mailing Fax
- (626) 446-1626
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-14-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A surgeon like Robert Papadopoulos treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G57027
- License State
- CA
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| WG57027A | MEDICARE ID-TYPE UNSPECIFIED (04) | CA | |
| A53221 | MEDICARE UPIN (02) | CA | |
| 00570270 | MEDICAID (05) | CA |
Medicare Participation & PECOS Enrollment Status
Robert Papadopoulos is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 91007 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $96.36
- Minimum New Patient Price $62.96
- Maximum New Patient Price $187.6
- Average New Patient Copayment $24.09
- Minimum New Patient Copayment $15.74
- Maximum New Patient Copayment $46.9
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $77.96
- Minimum Established Patient Price $20.84
- Maximum Established Patient Price $153.61
- Average Established Patient Copayment $19.49
- Minimum Established Patient Copayment $5.21
- Maximum Established Patient Copayment $38.4
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Engagement of Patients, Family, and Caregivers in Developing a Plan of Care | Yes | N/A |
| Engage patients, family, and caregivers in developing a plan of care and prioritizing their goals for action, documented in the electronic health record (EHR) technology. | ||
| Use evidence-based decision aids to support shared decision-making. | Yes | N/A |
| Use evidence-based decision aids to support shared decision-making. | ||
Reviews for ROBERT H PAPADOPOULOS M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 1 | 4 | 2 | 9 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 2 | 4 | 4 | 9 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 2 + 4 + 4 + 9 + 1 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1235142951 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1730181116 | HANSON TSUNG-HAN LEE M.D. Individual | Internal Medicine (Gastroenterology) | 612 W DUARTE RD SUITE 502 ARCADIA, CA 91007 (626) 821-2076 |
| 1982687042 | DR. SCOTT EDGAR NELSON M.D. Individual | Specialist | 612 W DUARTE RD SUITE 404 ARCADIA, CA 91007 (626) 445-3900 |
| 1386629731 | DR. MICHAEL A SOLIMAN MD Individual | Internal Medicine (Nephrology) | 612 W DUARTE RD #803 ARCADIA, CA 91007 (626) 446-4659 |
| 1609812841 | DR. PHILLIP JOSEPH CABASSO M.D. Individual | Internal Medicine | 612 W DUARTE RD #303 ARCADIA, CA 91007 (626) 447-9397 |
| 1710918222 | DR. MICHAEL G PERERA M.D. Individual | Specialist | 612 W DUARTE RD STE 702 ARCADIA, CA 91007 (626) 445-1853 |
| 1174555338 | DR. DANIEL R. BURSCHINGER Organization | Legal Medicine | 612 W DUARTE RD #504 ARCADIA, CA 91007 (626) 447-2147 |
| 1790719854 | DR. LIH-SYH HUANG M.D. Individual | Pediatrics | 612 W DUARTE RD SUITE 203 ARCADIA, CA 91007 (626) 447-4342 |
| 1285669549 | DR. WING-YIN LEONG M.D. Individual | Pediatrics | 612 W DUARTE RD SUITE 603 ARCADIA, CA 91007 (626) 445-8698 |
| 1083639496 | JAMI HATSUMI TANIHANA Individual | Audiologist | 612 W DUARTE RD SUITE 601 ARCADIA, CA 91007 (626) 445-2844 |
| 1306868617 | DR. ANDREW LEE M.D. Individual | Internal Medicine | 612 W DUARTE RD SUITE 302 ARCADIA, CA 91007 (626) 446-4719 |
| 1033124706 | SONUS-USA, INC. Organization | Audiologist-Hearing Aid Fitter | 612 W DUARTE RD SUITE 601 ARCADIA, CA 91007 (626) 445-2844 |
| 1841202520 | RICHARD B DEATSCH M.D. Individual | Surgery | 612 W DUARTE RD SUITE 602 ARCADIA, CA 91007 (626) 446-4645 |
| 1396831533 | MR. PAUL W. LAMBERT L.C.S.W. Individual | Social Worker (Clinical) | 612 W DUARTE RD #404 ARCADIA, CA 91007 (626) 445-0212 |
| 1063502318 | DR. BENJAMIN THOMAS STAFFORD M.D. Individual | Internal Medicine (Hematology & Oncology) | 612 W DUARTE RD SUITE 304 ARCADIA, CA 91007 (626) 446-4461 |
| 1316037666 | DR. RICHARD ALAN SHAPIRO M.D. Individual | Internal Medicine (Hematology & Oncology) | 612 W DUARTE RD SUITE 304 ARCADIA, CA 91007 (626) 446-4461 |
| 1780764324 | DR. DAVID A. VORON M.D. Individual | Dermatology | 612 W DUARTE RD SUITE 205 ARCADIA, CA 91007 (626) 446-8809 |
| 1619197373 | DR. ANDREW LIAO MD Individual | Family Medicine | 612 W DUARTE RD SUITE 202 ARCADIA, CA 91007 (626) 447-4567 |
| 1629227962 | PACIFIC HEMATOLOGY & ONCOLOGY INSTITUTE Organization | Internal Medicine (Hematology & Oncology) | 612 W DUARTE RD SUITE 804 ARCADIA, CA 91007 (626) 247-1192 |
| 1194090423 | SCOTT E NELSON MD A MEDICAL CORPORATION Organization | Internal Medicine | 612 W DUARTE RD SUITE 404 ARCADIA, CA 91007 (636) 445-3900 |
| 1548247943 | ANDREW YEH DO INC Organization | Obstetrics & Gynecology | 612 W DUARTE RD SUITE 504 ARCADIA, CA 91007 (626) 821-9892 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235142951, enumerated in the NPI registry as an "individual" on August 14, 2006
The provider is located at 612 W Duarte Rd Suite 602 Arcadia, Ca 91007 and the phone number is (626) 446-4645
The provider's speciality is Surgery with taxonomy code 208600000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $96.36 with an average copayment of $24.09 for new patient appointments. Established patients should expect a typical charge of $77.96 and an average copayment of 19.49. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 14, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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