DR. ROBERT ROYAL EASTMAN (MD) – Emergency Medicine Physician, NPI 1609877505

DR. ROBERT ROYAL EASTMAN (MD) is a healthcare provider. based in Shawano, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 51402 (AZ). The NPI Number for DR. ROBERT ROYAL EASTMAN (MD) is 1609877505

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT ROYAL EASTMAN (MD)
NPI
1609877505
Phone
(715) 526-6464
Address
309 N BARTLETT ST
Enumeration Date
2 August 2005
Last Update Date
14 July 2021

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5055962100
Graduation Year
1995 (31 years ago)
PAC ID
7911800743
Group Practice PAC ID
9234041708
Professional Enrollment ID
I20200408000192
Address ID
NM871131718AL6400XNEXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience96
Completeness75
Years active:20State licenses:4Digital endpointsOther names

3,050 FAMILY PRACTICE in WI

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Provider Addresses for DR. ROBERT ROYAL EASTMAN (MD)

  • 309, North Bartlett Street, Shawano, Shawano County, Wisconsin, 54166, United States

    SHAWANO, WI 541662127

    Phone: (715) 526-6464

    Type: Mailing

  • 269 S CANDY LN

    COTTONWOOD, AZ 863264158

    Phone: (928) 639-6172

    Fax: (928) 639-6682

    Type: Location

  • 1200 N BEAVER ST

    FLAGSTAFF, AZ 860013118

    Phone: (928) 213-6235

    Type: Mailing

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: 2021-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200408000192IFamily PracticeNMTBD
I20210729001489IEmergency MedicineMOTBD

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
99285Emergency department visit with high level of medical decision making238232$0
99284Emergency department visit with moderate level of medical decision making8281$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only7977$0
99291Critical care, first 30-74 minutes5249$0
View full utilization report →

Insurance plans in this area (ZIP 54166)

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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: 9234041708View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DR. ROBERT ROYAL EASTMAN (MD)'s NPI?
Yes. DR. ROBERT ROYAL EASTMAN (MD) is listed with NPI 1609877505 in the public NPI dataset.
Is DR. ROBERT ROYAL EASTMAN (MD) listed as active for patients and plans?
The listing shows DR. ROBERT ROYAL EASTMAN (MD) as active in the NPI system.
What is DR. ROBERT ROYAL EASTMAN (MD)'s primary classification?
Emergency Medicine Physician is the headline specialty for DR. ROBERT ROYAL EASTMAN (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ROBERT ROYAL EASTMAN (MD)?
DR. ROBERT ROYAL EASTMAN (MD)'s geographic hint is Shawano, Wisconsin in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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