Dr Robert Edward Rupp, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Stateline, Nevada. He went to University Of Texas Medical Branch At Galveston and graduated in 1990 and has 35 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Lake Tahoe Orthopaedic Institute A Watson-swanson Professional Corp, Barton Medical Foundation, Barton Medical Foundation, Tahoe Orthopedics And Sports Medicine, Inc. and his current practice location is
165 Highway 50, Stateline, Nevada. You can reach out to his office (for appointments etc.) via phone at
(775) 589-8950.
Dr Robert Edward Rupp is licensed to practice in Nevada (license number 8856) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558360628.
Physician's Profile
| Full Name | Dr Robert Edward Rupp |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 35 Years |
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| Location | 165 Highway 50, Stateline, Nevada |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Robert Edward Rupp attended and graduated from University Of Texas Medical Branch At Galveston in 1990
NPI Data:
- NPI Number: 1558360628
- Provider Enumeration Date: 07/20/2005
- Last Update Date: 07/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 9830272020
- Enrollment ID: I20080212000468
Medical Identifiers
Medical identifiers for Dr Robert Edward Rupp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558360628 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | A67307 (California) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 8856 (Nevada) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Lake Tahoe Orthopaedic Institute A Watson-swanson Professional Corp | 3375448384 | 16 |
| Barton Medical Foundation | 5395127682 | 87 |
| Barton Medical Foundation | 5395127682 | 87 |
| Tahoe Orthopedics And Sports Medicine, Inc. | 9537203351 | 16 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Robert Edward Rupp allows following entities to bill medicare on his behalf.
| Entity Name | Lake Tahoe Orthopaedic Institute A Watson-swanson Professional Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609937911 PECOS PAC ID: 3375448384 Enrollment ID: O20031203000511 |
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| Entity Name | Barton Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750950499 PECOS PAC ID: 5395127682 Enrollment ID: O20230302002928 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Robert Edward Rupp is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Robert Edward Rupp, MD 2170 South Ave, South Lake Tahoe, CA 96150-7026 Ph: (530) 543-5659 | Dr Robert Edward Rupp, MD 165 Highway 50, Stateline, NV 89449-9816 Ph: (775) 589-8950 |
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