JERRAD WILLIAM ROBY (DO) – Anesthesiology Physician, NPI 1104026012

JERRAD WILLIAM ROBY (DO) is a healthcare provider. based in Larkspur, California. specializing in Anesthesiology Physician. They hold the professional credentials DO. They hold a License No. 20A 12308 (CA). The NPI Number for JERRAD WILLIAM ROBY (DO) is 1104026012

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
JERRAD WILLIAM ROBY (DO)
NPI
1104026012
Phone
(415) 499-5132
Address
PO BOX 527
Enumeration Date
19 July 2007
Last Update Date
11 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7075463210
Graduation Year
2007 (19 years ago)
PAC ID
6002067428
Group Practice PAC ID
1153316112
Professional Enrollment ID
I20121113000279
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

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Provider Addresses for JERRAD WILLIAM ROBY (DO)

  • PO BOX 527

    LARKSPUR, CA 949770527

    Phone: (415) 499-5132

    Type: Mailing

  • Marin General Hospital, 250, Bon Air Road, Skylark, Marin County, California, 94904, United States

    GREENBRAE, CA 949041702

    Phone: (415) 925-7000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $2,906.

Total Amount is formed as General ($2,906) + Research ($0) + Ownership ($0) = $2,906.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Abbott Laboratories ($1,660).

Total Amount

$2,906

General + Research + Ownership

Payments

29

Total payment records

General Amount

$2,906

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2012-11-13

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
I20121113000279IAnesthesiologyCATBD

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
36620Insertion of artery tube for blood sampling or infusion through skin5151$0
00811Anesthesia for other procedure on large bowel using an endoscope2525$0
00560Anesthesia for procedure on heart and large blood vessels2424$0
01926Anesthesia for x-ray on artery of brain, heart, or chest2424$0
93312Ultrasound of heart with probe in esophagus, with report2222$0
View full utilization report →

Insurance plans in this area (ZIP 94977)

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Provider's Procedures

JERRAD WILLIAM ROBY (DO) performs procedures in Anesthesiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYCA00142Anesthesia for lens surgery2828

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: 1153316112View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)DE
A N E S T H E S I O L O G YCA
-CA
A N E S T H E S I O L O G YPA
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA

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Frequently asked questions

What NPI should I save for JERRAD WILLIAM ROBY (DO)?
Save NPI 1104026012 if you need a stable reference for JERRAD WILLIAM ROBY (DO).
Is JERRAD WILLIAM ROBY (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JERRAD WILLIAM ROBY (DO)?
The page reflects Anesthesiology Physician for JERRAD WILLIAM ROBY (DO). Clinical services aligned with this taxonomy classification.
Where is JERRAD WILLIAM ROBY (DO)'s primary listing?
We display Larkspur, California because that is what the record indicates for JERRAD WILLIAM ROBY (DO).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.