Robert Scanlon, DO
NPI 1609874197 · Pulmonary Disease Physician · Vidalia, GA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Robert Scanlon, DO is a Pulmonary Disease Physician provider in Vidalia, GA (NPI 1609874197).
Provider details
- NPI number
- 1609874197
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 65886 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
618 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 106 | $119 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 86 | $84 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 75 | $112 |
| Test to Measure Expiratory Airflow and Volume Changes Before and After Medication Administration94060 | 69 | $35 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 44 | $49 |
| Sleep Study in Sleep Lab With Continuous Airway Pressure (6 Years Or Older) |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 41 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Montelukast Sodium | 319 | 55 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 258 | 78 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 183 | 35 |
| Budesonide/Formoterol Fumaratebrand: Symbicort | 181 | 42 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 79 | 15 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 78 | 18 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$183 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-07-08
- Last updated
- 2025-06-20
- Certified
- 2025-06-20
Frequently asked questions
- What is Robert Scanlon's NPI number?
- Robert Scanlon's National Provider Identifier (NPI) is 1609874197, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Robert Scanlon's specialty?
- Robert Scanlon is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Robert Scanlon located?
- Robert Scanlon's practice location on file with NPPES is 1811 Edwina Dr, Vidalia, GA 30474-8963.
- What is Robert Scanlon's phone number?
- The practice phone number listed in the NPPES registry for Robert Scanlon is (912) 538-8105.
- Does Robert Scanlon accept Medicare?
- Robert Scanlon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Robert Scanlon's NPI active?
- Yes — Robert Scanlon's NPI (1609874197) is active in the NPPES registry as of the last update on 2025-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.