DR. ELLEN IRENE ROBERTS (DPM) – Podiatrist, NPI 1114422789

DR. ELLEN IRENE ROBERTS (DPM) is a healthcare provider. based in Worcester, Massachusetts. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 3127 (TX). The NPI Number for DR. ELLEN IRENE ROBERTS (DPM) is 1114422789

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELLEN IRENE ROBERTS (DPM)
NPI
1114422789
Phone
Not provided
Address
123 SUMMER ST
Enumeration Date
27 March 2018
Last Update Date
2 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7133638016
Graduation Year
2018 (8 years ago)
PAC ID
2264824283
Group Practice PAC ID
5193239796
Professional Enrollment ID
I20220124001807
Address ID
TX775847716PE8520XSTXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

385 PODIATRY in MA

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Provider Addresses for DR. ELLEN IRENE ROBERTS (DPM)

  • Saint Vincent Hospital at Worcester Medical Center, 123, Summer Street, Lincoln Square, Belmont Hill, Worcester, Worcester County, Massachusetts, 01608, United States

    WORCESTER, MA 016081216

    Phone:

    Type: Mailing

  • 6445 MAIN ST STE 2500

    HOUSTON, TX 770301502

    Phone: (346) 888-1692

    Type: Mailing

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 $172.

Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Kerecis Limited ($157).

Total Amount

$172

General + Research + Ownership

Payments

4

Total payment records

General Amount

$172

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

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: 2022-01-24

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
I20220124001807IPodiatryTXTBD

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
11042Removal of skin and tissue, 20.0 sq cm or less27473$0
99213Established patient office or other outpatient visit, 20-29 minutes252143$0
73630X-ray of foot, minimum of 3 views246162$0
99214Established patient office or other outpatient visit, 30-39 minutes207124$0
11721Removal of fingernails or toenails, 6 or more nails190114$0
View full utilization report →

Insurance plans in this area (ZIP 01608)

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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: 5193239796View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YTX
Internal MedicineIL
General SurgeryNJ
E N D O C R I N O L O G YTX
Family PracticeTX
Cardiovascular Disease (Cardiology)TX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)FL

Reviews

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Frequently asked questions

What is DR. ELLEN IRENE ROBERTS (DPM)'s NPI number?
DR. ELLEN IRENE ROBERTS (DPM)'s NPI is 1114422789 — the number used across U.S. healthcare to identify this provider.
Is DR. ELLEN IRENE ROBERTS (DPM) shown as active in public data?
Registry records indicate DR. ELLEN IRENE ROBERTS (DPM) maintains an active NPI.
What kind of doctor is DR. ELLEN IRENE ROBERTS (DPM)?
DR. ELLEN IRENE ROBERTS (DPM) is associated with Podiatrist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. ELLEN IRENE ROBERTS (DPM)?
Travel planning: use Worcester, Massachusetts as the reference point for DR. ELLEN IRENE ROBERTS (DPM), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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