DR. LAYNE D. ROBERTS (D.O.) – Family Medicine Physician, NPI 1902809205
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
969 FAMILY PRACTICE in ID
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Provider Addresses for DR. LAYNE D. ROBERTS (D.O.)
American Legion Boulevard, Mountain Home, Elmore County, Idaho, 83647, United States
MOUNTAIN HOME, ID 836473138
Phone: (208) 587-1500
Fax: (208) 587-3180
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 20 Open Payments records for all available years, with a total value of $451.
Total Amount is formed as General ($451) + Research ($0) + Ownership ($0) = $451.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($86).
Total Amount
$451
General + Research + Ownership
Payments
20
Total payment records
General Amount
$451
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
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: 2004-10-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041012001443 | I | Family Practice | ID | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 312 | 123 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 207 | 99 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 136 | 82 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 130 | 90 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 86 | 12 | $0 |
Insurance plans in this area (ZIP 83647)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | ID | 90670 | Pneumococcal vaccine for injection into muscle | 23 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Nurse Practitioner | ID |
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