Robert L. Kistner Jr., M.D.
NPI 1063404572ActiveIndividual· Surgery· Bullhead City, AZ
Surgery (M.D.) in Bullhead City, Arizona, trained at University of Cincinnati College of Medicine (class of 1986). Medicare paid $5,196 for services to 41 patients in 2024.
Overview
| NPI | 1063404572 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Aug 19, 2005 |
| Last updated in NPPES | Mar 13, 2024 |
| Certified by provider | Mar 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 35056109 | OH |
| Specialist | 174400000X | AZ20804 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (AZ); Practitioner - General Surgery (CO); Practitioner - General Surgery (OH); Practitioner - General Surgery (WV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 41 |
|---|---|
| Services billed | 61 across 7 procedure codes |
| Paid by Medicare | $5,196 |
Education and affiliations
| Medical school | University of Cincinnati College of Medicine |
|---|---|
| Graduation year | 1986 |
| Medicare specialty | General Surgery |
Medical group
- Camden-Clark Physician CorporationParkersburg, WV · 348 clinicians
Hospital affiliations
- Camden Clark Medical CenterParkersburg, WV
- Jackson General HospitalRipley, WV
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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