ROY W ROBERTSON (MD) – Interventional Cardiology Physician, NPI 1366434342

ROY W ROBERTSON (MD) is a healthcare provider. based in Fort wayne, Indiana. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), CARDIAC SURGERY, GENERAL SURGERY, INTERNAL MEDICINE, INTERVENTIONAL CARDIOLOGY. They hold the professional credentials MD. They hold a License No. 01037760A (IN). The NPI Number for ROY W ROBERTSON (MD) is 1366434342

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
ROY W ROBERTSON (MD)
NPI
1366434342
Phone
Not provided
Address
11109 PARKVIEW PLAZA DR # 117
Enumeration Date
16 August 2005
Last Update Date
3 June 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
2602665230
Graduation Year
1988 (38 years ago)
PAC ID
3577653773
Group Practice PAC ID
2163336967
Professional Enrollment ID
I20091229000494
Address ID
IN468054713FO2231XSTXX300

Contacts

FHIR Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
Secure Messaging
rrobertson8539@Direct.Parkviewexchange.com
FHIR Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

724 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IN

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Provider Addresses for ROY W ROBERTSON (MD)

  • 11109 PARKVIEW PLAZA DR # 117

    FORT WAYNE, IN 468451701

    Phone:

    Type: Mailing

  • Parkview Plaza Drive, Fort Wayne, Allen County, Indiana, 46845, United States

    MAILBOX 117

    FORT WAYNE, IN 468451701

    Phone: (260) 266-8210

    Fax: (260) 458-5636

    Type: Mailing

  • 11108, Parkview Circle, Fort Wayne, Allen County, Indiana, 46845, United States

    FORT WAYNE, IN 468451730

    Phone: (260) 266-5700

    Fax: (260) 266-9520

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $218.

Total Amount is formed as General ($218) + Research ($0) + Ownership ($0) = $218.

Last reported payment date: 2024-04-29 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($193).

Total Amount

$218

General + Research + Ownership

Payments

3

Total payment records

General Amount

$218

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-29

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: 2009-12-29

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
I20091229000494ICardiovascular Disease (Cardiology)INTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes230175$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing133122$0
33361Replacement of aortic valve through the skin and femoral artery4141$0
99215Established patient office or other outpatient visit, 40-54 minutes3935$0
99239Hospital discharge day management, more than 30 minutes3938$0
View full utilization report →

Insurance plans in this area (ZIP 46845)

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Provider's Procedures

ROY W ROBERTSON (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIAC SURGERYIN92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin4938
CARDIAC SURGERYIN93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report202190
CARDIAC SURGERYIN93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart6158
CARDIAC SURGERYIN93922Ultrasound study of arteries of both arms and legs2121
CARDIAC SURGERYIN93926Ultrasound study of arteries and arterial grafts of one leg or limited1111

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: 2163336967View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerNM
-IN
Nurse PractitionerIN
Family PracticeIN
-IN
-IN
Infectious DiseaseIN
Internal MedicineIN
-IN

Reviews

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Frequently asked questions

What is the 10-digit NPI for ROY W ROBERTSON (MD)?
ROY W ROBERTSON (MD) — NPI 1366434342 — is the standard way to identify this listing.
Does the file indicate ROY W ROBERTSON (MD) is practicing under active NPI?
Directory data currently reports ROY W ROBERTSON (MD) as active.
What is ROY W ROBERTSON (MD) best known for clinically?
Directory data describes ROY W ROBERTSON (MD) with Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
What area does ROY W ROBERTSON (MD) serve?
ROY W ROBERTSON (MD)'s listing highlights Fort Wayne, Indiana; more addresses can appear in NPPES.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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