DR. PATRICK BANNER ROBERTSON (D.O.) – Anesthesiology Physician, NPI 1093056749
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,338 ANESTHESIOLOGY in VA
Provider Addresses for DR. PATRICK BANNER ROBERTSON (D.O.)
6001 W OUTER DR
DETROIT, MI 482352614
Phone:
Type: Mailing
5115 BERNARD DR STE 201
ROANOKE, VA 240184367
Phone: (540) 345-0289
Fax: (540) 345-9569
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-06-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170628001672 | I | Anesthesiology | VA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 01922 | Anesthesia for x-ray or radiation therapy | 24 | 24 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 20 | 20 | $0 |
| 00790 | Anesthesia for other procedure on upper abdomen | 17 | 17 | $0 |
| 01230 | Anesthesia for procedure on upper 2/3rd of thigh bone | 16 | 16 | $0 |
| 00670 | Anesthesia for extensive surgery on spine | 15 | 15 | $0 |
Insurance plans in this area (ZIP 48235)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | VA | |
| A N E S T H E S I O L O G Y | VA | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| - | VA | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| A N E S T H E S I O L O G Y | VA | |
| A N E S T H E S I O L O G Y | VA | |
| - | VA | |
| - | VA | |
| A N E S T H E S I O L O G Y | VA |
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