DR. ROBERT KENNETH OLDHAM (MD) – Medical Oncology Physician, NPI 1548255334

DR. ROBERT KENNETH OLDHAM (MD) is a healthcare provider. based in Lynn haven, Florida. specializing in Medical Oncology Physician. They hold the professional credentials MD. They hold a License No. ME109647 (FL). The NPI Number for DR. ROBERT KENNETH OLDHAM (MD) is 1548255334

Main info

Male
58 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT KENNETH OLDHAM (MD)
NPI
1548255334
Phone
(850) 481-1687
Address
2900 S HIGHWAY 77
Enumeration Date
17 September 2005
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
9124665506
Graduation Year
1968 (58 years ago)
PAC ID
5890880876
Group Practice PAC ID
9830093640
Professional Enrollment ID
I20130711000740
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for DR. ROBERT KENNETH OLDHAM (MD)

  • 2900 S HIGHWAY 77

    LYNN HAVEN, FL 324445612

    Phone: (850) 481-1687

    Fax: (850) 640-0761

    Type: Mailing

  • 2900 S Highway 77

    Lynn Haven, FL 324445612

    Phone: (850) 481-1687

    Fax: (850) 640-0761

    Type: Location

  • West Redstone Avenue, Crestview, Okaloosa County, Florida, 32536, United States

    CRESTVIEW, FL 325366439

    Phone: (850) 683-0003

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-05-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110617000510IHematology/OncologyFLTBD
I20130711000740IMedical OncologyGATBD
I20150528001601IHematology/OncologyWVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes16565$0
99203New patient office or other outpatient visit, 30-44 minutes4343$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3937$0
99214Established patient office or other outpatient visit, 30-39 minutes3830$0
View full utilization report →

Insurance plans in this area (ZIP 32444)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830093640View full group profile
NameSpecialtyState
Infectious DiseaseGA
Family PracticeGA
Physician AssistantGA
Family PracticeGA
Physician AssistantGA
Internal MedicineGA
-GA
Cardiovascular Disease (Cardiology), Internal MedicineGA
-GA
-GA

Reviews

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Frequently asked questions

What federal number belongs to DR. ROBERT KENNETH OLDHAM (MD)?
The federal identifier for DR. ROBERT KENNETH OLDHAM (MD) is NPI 1548255334.
Is DR. ROBERT KENNETH OLDHAM (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. ROBERT KENNETH OLDHAM (MD)?
The page reflects Medical Oncology Physician for DR. ROBERT KENNETH OLDHAM (MD). Clinical services aligned with this taxonomy classification.
Where is DR. ROBERT KENNETH OLDHAM (MD)'s primary listing?
We display Lynn Haven, Florida because that is what the record indicates for DR. ROBERT KENNETH OLDHAM (MD).
What if Lynn Haven, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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