BRAD ROBERTS (DO) – Sports Medicine (Family Medicine) Physician, NPI 1982627204

BRAD ROBERTS (DO) is a healthcare provider. based in Peoria, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 036-116506 (IL). The NPI Number for BRAD ROBERTS (DO) is 1982627204

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
BRAD ROBERTS (DO)
NPI
1982627204
Phone
(309) 691-1400
Address
6000 N ALLEN RD
Enumeration Date
26 July 2006
Last Update Date
31 December 2019

Doctor Profile

Medical School Name
MID WEST MEDICAL COLLEGE
Secondary Phone
3096911400
Graduation Year
2002 (24 years ago)
PAC ID
7113023870
Group Practice PAC ID
8022917715
Professional Enrollment ID
I20070426000454
Address ID
IL616143294PE6000XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

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Provider Addresses for BRAD ROBERTS (DO)

  • North Allen Road, Peoria, Peoria County, Illinois, 61615, United States

    PEORIA, IL 616143294

    Phone: (309) 691-1400

    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 22 Open Payments records for all available years, with a total value of $885.

Total Amount is formed as General ($885) + Research ($0) + Ownership ($0) = $885.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Smith+Nephew, Inc. ($697).

Total Amount

$885

General + Research + Ownership

Payments

22

Total payment records

General Amount

$885

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: 2007-04-26

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
I20070426000454IFamily PracticeILTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg5,788332$0
20610Aspiration and/or injection of fluid from large joint844361$0
J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose38870$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes29674$0
99213Established patient office or other outpatient visit, 20-29 minutes262230$0
View full utilization report →

Insurance plans in this area (ZIP 61614)

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Provider's Procedures

BRAD ROBERTS (DO) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEIL20610Aspiration and/or injection of large joint or joint capsule604303
FAMILY MEDICINEIL73630X-ray of foot, minimum of 3 views4840
FAMILY MEDICINEIL97001Physical therapy evaluation4544
FAMILY MEDICINEIL97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes6519

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: 8022917715View full group profile
NameSpecialtyState
Orthopedic SurgeryIL
P O D I A T R YIL
Physician AssistantIL
Occupational Therapist In Private PracticeIL
Hand Surgery, Orthopedic SurgeryIL
Occupational Therapist In Private PracticeIL
Orthopedic SurgeryIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What is the registry number for BRAD ROBERTS (DO)?
The registry entry for BRAD ROBERTS (DO) shows NPI 1982627204.
Does the public listing show BRAD ROBERTS (DO) as active?
BRAD ROBERTS (DO)'s NPI record reflects an active status in NPPES.
What services align with BRAD ROBERTS (DO)'s listing?
BRAD ROBERTS (DO)'s public classification highlights Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What city is tied to BRAD ROBERTS (DO)?
The directory associates BRAD ROBERTS (DO) with Peoria, Illinois. Check all listed addresses for suites or satellite offices.
Who maintains BRAD ROBERTS (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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