ROBERT D LOEFFLER MD
NPI 1386681419
Orthopaedic Surgery in Key West, FL
NPI Status: Active since May 31, 2006
Contact Information
1111 12TH ST
SUITE 201
KEY WEST, FL
ZIP 33040
Phone: (305) 295-3477
Fax: (305) 295-3550
- Individual
- Male
- Orthopaedic Surgery
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About ROBERT LOEFFLER
This page provides the complete NPI Profile along with additional information for Robert Loeffler, a provider established in Key West, Florida with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1386681419 assigned on May 2006. The practitioner's primary taxonomy code is 207X00000X with license number ME85685 (FL). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1386681419
- Provider Name
- ROBERT D LOEFFLER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1111 12TH ST SUITE 201 KEY WEST, FL 33040
- Location Phone
- (305) 295-3477
- Location Fax
- (305) 295-3550
- Mailing Address
- 22974 OVERSEAS HWY CUDJOE KEY, FL 33042
- Mailing Phone
- (305) 745-7357
- Mailing Fax
- (305) 295-3550
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-31-2006
- Last Update Date
- 09-15-2020
- Code Navigator
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
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME85685
- License State
- FL
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
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.
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 |
|---|---|---|---|
| 47963 | OTHER (01) | FL | BLUE CROSS BLUE SHIELD |
| P00060772 | OTHER (01) | FL | RAILROAD MEDICARE |
Medicare Participation & PECOS Enrollment Status
Robert Loeffler 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 33040 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $96.13
- Minimum New Patient Price $60.92
- Maximum New Patient Price $187.05
- Average New Patient Copayment $24.03
- Minimum New Patient Copayment $15.23
- Maximum New Patient Copayment $46.76
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $75.86
- Minimum Established Patient Price $18.99
- Maximum Established Patient Price $150.24
- Average Established Patient Copayment $18.96
- Minimum Established Patient Copayment $4.74
- Maximum Established Patient Copayment $37.56
* 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 |
|---|---|---|
| Breast Cancer Screening | 12% | 65 |
| Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer | ||
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Colorectal Cancer Screening | 7% | 131 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Documentation of Current Medications in the Medical Record | 99% | 488 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 33% | 201 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 95% | 78 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
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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 | 3 | 8 | 6 | 6 | 8 | 1 | 4 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 16 | 6 | 12 | 8 | 2 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 6 + 6 + 1 + 2 + 8 + 2 + 4 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1386681419 is valid because the calculated check digit 9 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 |
|---|---|---|---|
| 1346392164 | DR. JOHN CALLEJA MD Individual | Internal Medicine | 1111 12TH ST SUITE 210 KEY WEST, FL 33040 (305) 296-2414 |
| 1477605285 | KEY WEST MEDICAL GROUP P A Organization | Internal Medicine | 1111 12TH ST SUITE210 KEY WEST, FL 33040 (305) 296-2414 |
| 1518185834 | ELIOPE M. PAZ, P.A. Organization | Psychiatry & Neurology (Neurology) | 1111 12TH ST 110 KEY WEST, FL 33040 (305) 294-6242 |
| 1104148758 | FL KEYS INTENSIVE OUTPATIENT PROGRAM, LLC Organization | Psychiatry & Neurology (Psychiatry) | 1111 12TH ST SUITE 413 KEY WEST, FL 33040 (305) 294-9554 |
| 1346595253 | JANICE A. MOODY, MD, PA Organization | Otolaryngology (Otolaryngology/Facial Plastic Surgery) | 1111 12TH ST SUITE112 KEY WEST, FL 33040 (305) 292-2625 |
| 1013990456 | STEVEN TAKAS MD Individual | Pediatrics | 1111 12TH ST STE 311 KEY WEST, FL 33040 (305) 295-6700 |
| 1447591748 | PEDIATRICS ALLIANCE, LLC. Organization | Clinic/Center | 1111 12TH ST SUITE 311 KEY WEST, FL 33040 (305) 295-6700 |
| 1235472622 | PEDIATRICS ALLIANCE LLC Organization | Pediatrics | 1111 12TH ST STE 311 KEY WEST, FL 33040 (305) 295-6700 |
| 1891736526 | ROBERT W DOUVILLE MD PA Organization | Ophthalmology | 1111 12TH ST SUITE 107 KEY WEST, FL 33040 (305) 294-8494 |
| 1992741110 | ROBERT DOUVILLE MD Individual | Ophthalmology | 1111 12TH ST SUITE 107 KEY WEST, FL 33040 (305) 294-8494 |
| 1780749648 | DR. ANTOINETTE ELIZABETH MCPHERSON-CHARLES PH.D. Individual | Psychologist (Clinical) | 1111 12TH ST SUITE 206 KEY WEST, FL 33040 (305) 923-9650 |
| 1356706840 | NEW HOPE WELLNESS CENTER, INC Organization | Case Management | 1111 12TH ST 310 E KEY WEST, FL 33040 (786) 241-4740 |
| 1831256882 | DR. JOSE M TEXIDOR M.D. Individual | Pediatrics | 1111 12TH ST SUITE 311 KEY WEST, FL 33040 (305) 295-6700 |
| 1023121944 | ROBERT W DOUVILLE MD PA Organization | Ophthalmology | 1111 12TH ST STE 107 KEY WEST, FL 33040 (305) 294-8494 |
| 1316165764 | JOSEPH OLEAR MD Organization | Psychologist (Prescribing (Medical)) | 1111 12TH ST 106 KEY WEST, FL 33040 (305) 294-9554 |
| 1316924285 | STANLEY RIVERA SANTIAGO MD Individual | Obstetrics & Gynecology | 1111 12TH ST SUITE 104 KEY WEST, FL 33040 (305) 293-1830 |
| 1740213578 | CHRISTOPHER V. BENSEN MD Individual | Orthopaedic Surgery | 1111 12TH ST SUITE 201 KEY WEST, FL 33040 (305) 295-3477 |
| 1033258587 | NANCY JEAN KAPLITZ MD PA Individual | Psychiatry & Neurology (Neurology) | 1111 12TH ST SUITE 110 KEY WEST, FL 33040 (305) 293-0005 |
| 1346548229 | KEY WEST HMA PHYSICIAN MANAGEMENT LLC Organization | Orthopaedic Surgery | 1111 12TH ST SUITE 201 KEY WEST, FL 33040 (305) 295-3477 |
| 1093874380 | EDUARDO R GONZALEZ-BLANCO M.D. Individual | Urology | 1111 12TH ST SUITE 108 KEY WEST, FL 33040 (305) 294-5576 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386681419, enumerated in the NPI registry as an "individual" on May 31, 2006
The provider is located at 1111 12th St Suite 201 Key West, Fl 33040 and the phone number is (305) 295-3477
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross Blue Shield,. 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 $96.13 with an average copayment of $24.03 for new patient appointments. Established patients should expect a typical charge of $75.86 and an average copayment of 18.96. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on May 31, 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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