MARILYN NICHOLE MOULTON ROBERTS (PA-C) – Physician Assistant, NPI 1811463490
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,202 PHYSICIAN ASSISTANT in AL
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Provider Addresses for MARILYN NICHOLE MOULTON ROBERTS (PA-C)
1322 N DEAN RD APT 230
AUBURN, AL 368307658
Phone:
Type: Mailing
North 20th Street, Five Points, Opelika, Lee County, Alabama, 36801, United States
OPELIKA, AL 368015459
Phone: (334) 528-0078
Type: Location
1210 BROOKSTONE CENTRE PKWY
COLUMBUS, GA 319049272
Phone: (706) 322-1717
Fax: (706) 322-1718
Type: Mailing
1925 E GLENN AVE
AUBURN, AL 368305729
Phone: (334) 528-0078
Fax: (334) 528-0079
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 93 Open Payments records for all available years, with a total value of $2,752.
Total Amount is formed as General ($2,752) + Research ($0) + Ownership ($0) = $2,752.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($957).
Total Amount
$2,752
General + Research + Ownership
Payments
93
Total payment records
General Amount
$2,752
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $957 |
| ABBVIE INC. | $697 |
| LEO Pharma Inc. | $110 |
| Novartis Pharmaceuticals Corporation | $96 |
| GENZYME CORPORATION | $94 |
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: 2023-09-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190513001058 | I | Physician Assistant | AL | TBD |
| I20230920003083 | I | Physician Assistant | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 247 | 45 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 68 | 67 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 66 | 65 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 53 | 52 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 42 | 42 | $0 |
Insurance plans in this area (ZIP 36830)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TN | |
| D E R M A T O L O G Y | GA | |
| D E R M A T O L O G Y | TN |
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