JOHN L JR. ROBERSON (DPM) – Podiatrist, NPI 1154303105

JOHN L JR. ROBERSON (DPM) is a healthcare provider. based in Birmingham, Alabama. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 262 (AL). The NPI Number for JOHN L JR. ROBERSON (DPM) is 1154303105

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
JOHN L JR. ROBERSON (DPM)
NPI
1154303105
Phone
(205) 324-8511
Address
805 ST. VINCENT'S DRIVE
Enumeration Date
16 November 2005
Last Update Date
6 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2053248511
Graduation Year
2000 (26 years ago)
PAC ID
7214920255
Group Practice PAC ID
4183617111
Professional Enrollment ID
I20040406000881
Address ID
AL352051641BI805XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

127 PODIATRY in AL

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Provider Addresses for JOHN L JR. ROBERSON (DPM)

  • Orthosports Building, 805, Saint Vincent's Drive, Highland Avenue Historic District, Highland Residence Park, Birmingham, Jefferson County, Alabama, 35205, United States

    STE 420

    BIRMINGHAM, AL 352051641

    Phone: (205) 324-8511

    Fax: (205) 314-8551

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $1,010.

Total Amount is formed as General ($1,010) + Research ($0) + Ownership ($0) = $1,010.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Stryker Corporation ($673).

Total Amount

$1,010

General + Research + Ownership

Payments

30

Total payment records

General Amount

$1,010

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-04-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20040406000881IPodiatryALTBD

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 minutes903404$0
73620X-ray of foot, 2 views294190$0
99203New patient office or other outpatient visit, 30-44 minutes218218$0
20550Injection into tendon or ligament207136$0
73630X-ray of foot, minimum of 3 views12688$0
View full utilization report →

Insurance plans in this area (ZIP 35205)

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Provider's Procedures

JOHN L JR. ROBERSON (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYAL11720Removal of tissue from 1 to 5 finger or toe nails1211

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: 4183617111View full group profile
NameSpecialtyState
P O D I A T R YAL
P O D I A T R YAL
P O D I A T R YNY

Reviews

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Frequently asked questions

Is there an official ID for JOHN L JR. ROBERSON (DPM) in U.S. healthcare records?
The official identifier for JOHN L JR. ROBERSON (DPM) is NPI 1154303105.
Is there an active status for JOHN L JR. ROBERSON (DPM)?
For scheduling context, JOHN L JR. ROBERSON (DPM) is shown as active in the registry.
What area of care is associated with JOHN L JR. ROBERSON (DPM)?
JOHN L JR. ROBERSON (DPM)'s record emphasizes Podiatrist. Clinical services aligned with this taxonomy classification.
Is JOHN L JR. ROBERSON (DPM) located near Birmingham?
JOHN L JR. ROBERSON (DPM) currently maps to Birmingham, Alabama in this extract.
Can I trust this NPI listing for JOHN L JR. ROBERSON (DPM)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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