EDWARD J ROBERTS (P.A.) – Physician Assistant, NPI 1689660227

EDWARD J ROBERTS (P.A.) is a healthcare provider. based in Clio, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA9114582 (FL). The NPI Number for EDWARD J ROBERTS (P.A.) is 1689660227

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD J ROBERTS (P.A.)
NPI
1689660227
Phone
(810) 686-2600
Address
13137 N CLIO RD
Enumeration Date
20 September 2005
Last Update Date
18 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7864322698
Graduation Year
2016 (10 years ago)
PAC ID
3779474994
Group Practice PAC ID
3971554825
Professional Enrollment ID
I20230228000608
Address ID
FL331795301NO1770XDRXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

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Provider Addresses for EDWARD J ROBERTS (P.A.)

  • 13137, North Clio Road, Farrandville, Vienna Township, Genesee County, Michigan, 48420, United States

    CLIO, MI 484201028

    Phone: (810) 686-2600

    Type: Location

  • PO BOX 585

    OXFORD, MI 483710585

    Phone: (248) 969-3220

    Fax: (844) 274-3091

    Type: Mailing

  • 1770 NE MIAMI GDN DR

    NORTH MIAMI BEACH, FL 331795301

    Phone: (810) 686-2600

    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: 2023-02-28

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
I20040324001220IPhysician AssistantMITBD
I20230228000608IPhysician AssistantFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes9188$0
99203New patient office or other outpatient visit, 30-44 minutes6161$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza4242$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 48420)

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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: 3971554825View full group profile

Reviews

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Frequently asked questions

Where can patients find EDWARD J ROBERTS (P.A.)'s NPI?
You can confirm EDWARD J ROBERTS (P.A.) with NPI 1689660227; it appears in the national provider directory.
Is EDWARD J ROBERTS (P.A.) currently active in the NPI registry?
CMS-published data lists EDWARD J ROBERTS (P.A.) as an active registrant.
What kind of provider is EDWARD J ROBERTS (P.A.)?
The page reflects Physician Assistant for EDWARD J ROBERTS (P.A.). Clinical services aligned with this taxonomy classification.
What location shows for EDWARD J ROBERTS (P.A.)?
We surface Clio, Michigan for EDWARD J ROBERTS (P.A.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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