MR. ERIC DANIEL ROBERTS (PA-C) – Physician Assistant, NPI 1235536939

MR. ERIC DANIEL ROBERTS (PA-C) is a healthcare provider. based in Elkhart, Indiana. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 10002359A (IN). The NPI Number for MR. ERIC DANIEL ROBERTS (PA-C) is 1235536939

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MR. ERIC DANIEL ROBERTS (PA-C)
NPI
1235536939
Phone
(574) 522-0265
Address
111 N NAPPANEE ST
Enumeration Date
24 November 2014
Last Update Date
11 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7702515111
Graduation Year
2014 (12 years ago)
PAC ID
9931466703
Group Practice PAC ID
6800798182
Professional Enrollment ID
I20210513001471
Address ID
GA302147617FA874XXWXXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for MR. ERIC DANIEL ROBERTS (PA-C)

  • 111 N NAPPANEE ST

    ELKHART, IN 465141957

    Phone: (574) 522-0265

    Type: Mailing

  • 431 Meadowlark St

    Shaw AFB, SC 291525019

    Phone: (803) 895-6587

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 160 Open Payments records for all available years, with a total value of $3,478.

Total Amount is formed as General ($3,478) + Research ($0) + Ownership ($0) = $3,478.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($493).

Total Amount

$3,478

General + Research + Ownership

Payments

160

Total payment records

General Amount

$3,478

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: 2021-05-13

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
I20210513001471IPhysician AssistantGATBD

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
17003Destruction of precancer skin growth, 2-14 growths50876$0
99213Established patient office or other outpatient visit, 20-29 minutes351241$0
11102Biopsy of related skin growth, first growth137113$0
17000Destruction of precancer skin growth, 1 growth127101$0
99203New patient office or other outpatient visit, 30-44 minutes120120$0
View full utilization report →

Insurance plans in this area (ZIP 46514)

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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: 6800798182View full group profile
NameSpecialtyState
D E R M A T O L O G YTX
-GA
-GA
Physician AssistantGA
Physician AssistantGA
Physician AssistantGA
D E R M A T O L O G YGA
Physician AssistantTX
Physician AssistantTX
D E R M A T O L O G YGA

Reviews

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Frequently asked questions

Does MR. ERIC DANIEL ROBERTS (PA-C) have a public NPI I can cite?
Public records show MR. ERIC DANIEL ROBERTS (PA-C) under NPI 1235536939.
Quick check: is MR. ERIC DANIEL ROBERTS (PA-C) active?
Public NPPES data shows MR. ERIC DANIEL ROBERTS (PA-C) with an active NPI status right now.
Which specialty label fits MR. ERIC DANIEL ROBERTS (PA-C)?
NPPES ties MR. ERIC DANIEL ROBERTS (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MR. ERIC DANIEL ROBERTS (PA-C)?
The directory associates MR. ERIC DANIEL ROBERTS (PA-C) with Elkhart, Indiana. Check all listed addresses for suites or satellite offices.
Can I export MR. ERIC DANIEL ROBERTS (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.