DR. JERRY THOMAS ROBERTS (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1629395405

DR. JERRY THOMAS ROBERTS (D.P.M.) is a healthcare provider. based in Somerset, Kentucky. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. POD001206 (GA). The NPI Number for DR. JERRY THOMAS ROBERTS (D.P.M.) is 1629395405

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. JERRY THOMAS ROBERTS (D.P.M.)
NPI
1629395405
Phone
(606) 679-2773
Address
117 TRADEPARK DR
Enumeration Date
3 May 2010
Last Update Date
16 October 2015

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
2485282116
Graduation Year
2010 (16 years ago)
PAC ID
2264668094
Group Practice PAC ID
9931587888
Professional Enrollment ID
I20151106001531
Address ID
KY402071681LO4350XRDXX313
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:16State licenses:2Digital endpointsOther names

214 PODIATRY in KY

Provider Addresses for DR. JERRY THOMAS ROBERTS (D.P.M.)

  • 117 TRADEPARK DR

    SOMERSET, KY 425033428

    Phone: (606) 679-2773

    Fax: (606) 679-4626

    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 4 Open Payments records for all available years, with a total value of $174.

Total Amount is formed as General ($174) + Research ($0) + Ownership ($0) = $174.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Boston Scientific Corporation ($103).

Total Amount

$174

General + Research + Ownership

Payments

4

Total payment records

General Amount

$174

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

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: 2015-11-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20131126000632IPodiatryGATBD
I20151106001531IPodiatryKYTBD

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
11721Removal of fingernails or toenails, 6 or more nails861314$0
99214Established patient office or other outpatient visit, 30-39 minutes233167$0
99213Established patient office or other outpatient visit, 20-29 minutes200155$0
11719Trimming of fingernails or toenails15587$0
11042Removal of skin and tissue, 20.0 sq cm or less14954$0
View full utilization report →

Insurance plans in this area (ZIP 42503)

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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: 9931587888View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerOH
P O D I A T R YKY
P O D I A T R YIL
P O D I A T R YKY
Nurse PractitionerKY
P O D I A T R YPA
Nurse PractitionerKY
P O D I A T R YWV
P O D I A T R YKY

Reviews

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Frequently asked questions

What is the registry number for DR. JERRY THOMAS ROBERTS (D.P.M.)?
The registry entry for DR. JERRY THOMAS ROBERTS (D.P.M.) shows NPI 1629395405.
Does the public listing show DR. JERRY THOMAS ROBERTS (D.P.M.) as active?
DR. JERRY THOMAS ROBERTS (D.P.M.)'s NPI record reflects an active status in NPPES.
What does the directory say DR. JERRY THOMAS ROBERTS (D.P.M.) does?
Insurance directories may phrase it differently, but here DR. JERRY THOMAS ROBERTS (D.P.M.) maps to Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. JERRY THOMAS ROBERTS (D.P.M.)?
DR. JERRY THOMAS ROBERTS (D.P.M.) shows a connection to Somerset, Kentucky in registry-derived data.
Can I export DR. JERRY THOMAS ROBERTS (D.P.M.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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