Robert Pomphrey, MD
NPI 1861495152 · Family Medicine Physician · Lexington, TN
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Robert Pomphrey, MD is a Family Medicine Physician provider in Lexington, TN (NPI 1861495152).
Provider details
- NPI number
- 1861495152
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD29910 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
21 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
68 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 39 | $161 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 29 | $111 |
Typical Medicare-allowed amounts for these services range $111–$161 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 39 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 53 | 11 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 45 | 18 |
| Alprazolam | 34 | — |
| Clonazepam | 31 | — |
| Hydrochlorothiazide | 30 | — |
| Lisinopril | 30 | 13 |
| Atorvastatin Calcium |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-05-31
- Last updated
- 2021-01-27
- Certified
- 2021-01-27
Frequently asked questions
- What is Robert Pomphrey's NPI number?
- Robert Pomphrey's National Provider Identifier (NPI) is 1861495152, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Robert Pomphrey's specialty?
- Robert Pomphrey is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Robert Pomphrey located?
- Robert Pomphrey's practice location on file with NPPES is 16615 Highway 104 N Ste B, Lexington, TN 38351-5753.
- What is Robert Pomphrey's phone number?
- The practice phone number listed in the NPPES registry for Robert Pomphrey is (731) 968-0660.
- Does Robert Pomphrey accept Medicare?
- Robert Pomphrey is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Robert Pomphrey's NPI active?
- Yes — Robert Pomphrey's NPI (1861495152) is active in the NPPES registry as of the last update on 2021-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.