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Active NPI 1699954602 Individual Practitioner Male Practitioner

Dr. Robert Mason Ricketts , MD

Specialist • Westminster, MD

Professional Overview & Biography Verified Profile Summary

Dr. Robert Ricketts, MD is a registered healthcare professional specializing in Specialist in Westminster, MD. Practice services are available at 1011 BALTIMORE BLVD under active NPI credentials.

Frequently performed procedures and clinical services include routine ekg using at least 12 leads including interpretation and report, established patient outpatient office visit, ultrasound of heart with color-depicted blood flow, rate, direction and valve function. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1011 Baltimore Blvd
Suite E

Westminster, MD 211577055

Telephone 4104695001
Associated Practice Facility / Clinic
🏢 Mnr Industries, Llc Facility NPI 1093042012

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Westminster, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 48.0 Yrs
State Avg: 36.9 Yrs
Regional Practice Density
12 Specialists

Practicing in Westminster, MD (1034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
93000 Routine ekg using at least 12 leads including interpretation and report
330 285 $77.00 $14.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
174 145 $295.00 $132.08
99213 Established patient office or other outpatient visit, typically 15 minutes
157 153 $205.00 $94.05
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
47 47 $655.00 $198.99
93280 Programming of dual lead pacemaker system
16 16 $195.00 $81.51
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician
12 12 $332.00 $67.46

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MD D0039296

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
066921102 (MD)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Katherine Brown , PT

Clinic/Center - Physical Therapy

NPI 1114521838

Physical Therapist

Dr. Elise Egolf , DPT

Physical Therapist

NPI 1881130581

Doctor of Physical Therapy

NPI 1932178811

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 30, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2015

Registered at 1011 BALTIMORE BLVD, SUITE E, WESTMINSTER, MD 211577055 (Tel: 4104695001)

📍
Updated Business Mailing Address October 30, 2015

Registered at 1011 BALTIMORE BLVD, WESTMINSTER, MD 211577055 (Tel: 4104695001)

👤
Provider Name / Credentials Updated October 30, 2015

Recorded as ROBERT RICKETTS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2015

Specialist (License #D0039296 in MD)

🟢
Initial NPI Registration & Enumeration October 25, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699954602
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2007
Last Update: October 30, 2015
Sole Proprietor: No

Mailing Address

1011 Baltimore Blvd

Westminster, MD 211577055

Phone: 4104695001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.