Active NPI 1013915602 Individual Practitioner Male Practitioner

Dr. Robert Knowles , MD

Surgery • Roanoke, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Knowles, MD is a certified Surgery practicing in Roanoke, VA. With approximately 37 years of clinical experience since completing medical education in 1989, Dr. Knowles delivers high-quality medical care to the local community at 101 ELM AVE SE.

Dr. Knowles maintains professional affiliations with Carilion Medical Center, Carilion Giles Community Hospital, Carilion New River Valley Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital inpatient care per day, removal of skin and tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

101 Elm Ave Se

Roanoke, VA 240132222

Telephone 5402244325

Fax 5402244399

Associated Practice Facility / Clinic

🏢 Carilion Medical Center Facility NPI 1730302126

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Roanoke, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +13.3 yrs vs City Avg

City Avg: 23.7 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

47 Specialists

Practicing in Roanoke, VA (909 Statewide)

Telehealth Adoption Rate

19.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Knowles (37 Years) 37 Yrs

Roanoke Specialty Average (23.7 Years) 23.7 Yrs

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
99213 Established patient office or other outpatient visit, typically 15 minutes	435	147	$150.70	$62.93
99221 Initial hospital inpatient care per day, typically 30 minutes	97	90	$237.13	$78.59
11042 Removal of skin and tissue, 20.0 sq cm or less	83	68	$321.00	$57.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$202.19	$76.92
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	34	$96.43	$47.07
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	47	31	$198.51	$79.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	32	$300.00	$124.81
17250 Application of chemical to stop tissue regrowth in wound	13	12	$122.85	$36.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	11	$160.00	$75.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	405	127	$100.00	$63.97
11042 Removal of skin and tissue, 20.0 sq cm or less	114	77	$261.45	$57.64
99221 Initial hospital inpatient care per day, typically 30 minutes	98	93	$196.29	$80.81
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	73	34	$191.36	$80.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$150.00	$80.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	31	$50.00	$34.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	34	$80.02	$48.33
17250 Application of chemical to stop tissue regrowth in wound	19	14	$75.53	$35.51
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	17	$110.00	$51.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$245.38	$126.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	441	131	$83.86	$65.46
11042 Removal of skin and tissue, 20.0 sq cm or less	158	85	$162.84	$59.09
99221 Initial hospital inpatient care per day, typically 30 minutes	81	78	$164.27	$98.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	69	49	$114.86	$70.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$127.97	$81.84
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	59	22	$191.00	$82.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	53	$211.18	$133.25
99231 Follow-up hospital inpatient care per day, typically 15 minutes	54	41	$66.57	$38.00
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	18	$110.00	$52.72
11104 Punch biopsy, first skin growth	11	11	$108.00	$42.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	531	193	$79.00	$68.13
11042 Removal of skin and tissue, 20.0 sq cm or less	189	113	$133.00	$61.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	132	132	$118.00	$84.77
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	78	34	$191.00	$85.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	45	$115.00	$101.04
17250 Application of chemical to stop tissue regrowth in wound	46	22	$73.00	$35.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	40	$209.00	$136.70
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	26	15	$84.00	$41.70
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	22	$110.00	$53.66
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	22	16	$440.00	$157.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	14	$111.00	$72.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$38.00	$36.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	182	73	$78.84	$52.42
11042 Removal of skin and tissue, 20.0 sq cm or less	92	51	$133.17	$63.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$117.77	$76.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	16	$114.40	$80.96
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	22	$110.00	$54.43
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$77.50	$51.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$38.00	$26.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	24	$173.70	$70.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$119.23	$73.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$330.19	$197.07
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$65.27	$49.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$119.00	$76.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$51.50	$24.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	28	$149.00	$79.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$164.00	$132.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	20	$203.88	$113.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	11	$60.00	$25.90
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$100.00	$52.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$111.00	$78.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	42	$149.00	$78.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$164.00	$129.27
76642 Limited ultrasound scan of 1 breast	25	23	$257.92	$34.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$60.00	$25.37
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$100.00	$50.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	16	$202.00	$110.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$111.00	$76.45
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$73.00	$50.49

Medical Specialties & State Licenses

CMS Verified: 2022-08-23

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101058403

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Registered Nurse - Wound Care

NUCC Taxonomy Code: 163WW0000X

State License VA 0101058403

Definition to come...

Surgery

NUCC Taxonomy Code: 208600000X

State License NH 15835

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3077483 (NH)

Commercial Insurance / Payer ID Medicare Ptan

002960301 (NH)

Hospital & Practice Group Affiliations

Carilion Medical Center

101 Elm Ave, Roanoke, VA 240132222

Phone: 5402244380

Carilion Giles Community Hospital

159 Hartley Way, Pearisburg, VA 241342471

Phone: 5409216000

Carilion New River Valley Medical Center

2900 Lamb Cir, Christiansburg, VA 240736344

Phone: 5407312992

Secondary Practice Locations

454 Old Street Rd, Suite 201

Peterborough, NH 034581200

Phone: 6039244668

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Young Kang , MD

Plastic Surgery

NPI 1053387308

Doctor of Medicine (M.D.)

Dr. James Foster , MD

Surgery

NPI 1477539476

Doctor of Medicine (M.D.)

Dr. Susan Kinnison , MD

Surgery

NPI 1568441046

Doctor of Medicine (M.D.)

Dr. Kimberly Thomas , DNP, RN, CNS

Clinical Nurse Specialist

NPI 1619399631

Doctor of Nursing Practice, Registered Nurse, Clinical Nurse Specialist

Allison Workman , PA

Physician Assistant

NPI 1780128389

Physician Assistant

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location August 23, 2022

Registered at 101 ELM AVE SE, ROANOKE, VA 240132222 (Tel: 5402244325)

📍

Updated Business Mailing Address August 23, 2022

Registered at 213 S JEFFERSON ST STE 1006, ROANOKE, VA 240111713 (Tel: 5402245715)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2022

Registered Nurse (License #0101058403 in VA)

✅

NPI Profile Active November 09, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 09, 2015

Registered at 454 OLD STREET RD, SUITE 201, PETERBOROUGH, NH 034581200 (Tel: 6039244668)

📍

Updated Business Mailing Address November 09, 2015

Registered at 454 OLD STREET RD, SUITE 201, PETERBOROUGH, NH 034581200 (Tel: 6039244668)

👤

Provider Name / Credentials Updated November 09, 2015

Recorded as ROBERT KNOWLES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2015

Surgery (License #15835 in NH)

🟢

Initial NPI Registration & Enumeration July 08, 2005

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: 1013915602

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 08, 2005

Last Update: August 23, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

213 S Jefferson St Ste 1006

Roanoke, VA 240111713

Phone: 5402245715

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.