FREDERICK WILLIAM ROBERTS (D.O.) – Dermatology Physician, NPI 1871591164

FREDERICK WILLIAM ROBERTS (D.O.) is a healthcare provider. based in Lapeer, Michigan. specializing in Dermatology Physician. They hold the professional credentials D.O.. They hold a License No. 5101010293 (MI). The NPI Number for FREDERICK WILLIAM ROBERTS (D.O.) is 1871591164

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
FREDERICK WILLIAM ROBERTS (D.O.)
NPI
1871591164
Phone
(810) 245-7766
Address
3273 DAVISON RD
Enumeration Date
11 July 2005
Last Update Date
6 March 2008

Doctor Profile

Medical School Name
UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Secondary Phone
8102457766
Graduation Year
1988 (38 years ago)
PAC ID
9335247972
Group Practice PAC ID
8628353380
Professional Enrollment ID
I20070606000155
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for FREDERICK WILLIAM ROBERTS (D.O.)

  • 3273, Davison Road, Elba, Elba Township, Lapeer County, Michigan, 48446, United States

    STE 5

    LAPEER, MI 484464306

    Phone: (810) 245-7766

    Fax: (810) 245-6216

    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 21 Open Payments records for all available years, with a total value of $470.

Total Amount is formed as General ($470) + Research ($0) + Ownership ($0) = $470.

Last reported payment date: 2023-12-14 • Largest payer in this snapshot: Janssen Biotech, Inc. ($95).

Total Amount

$470

General + Research + Ownership

Payments

21

Total payment records

General Amount

$470

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-14

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: 2007-06-06

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
I20070606000155IDermatologyMITBD

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
17003Destruction of precancer skin growth, 2-14 growths642153$0
99212Established patient office or other outpatient visit, 10-19 minutes284243$0
17000Destruction of precancer skin growth, 1 growth270220$0
99213Established patient office or other outpatient visit, 20-29 minutes239200$0
11102Biopsy of related skin growth, first growth118107$0
View full utilization report →

Insurance plans in this area (ZIP 48446)

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Provider's Procedures

FREDERICK WILLIAM ROBERTS (D.O.) performs procedures in Dermatology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMI17003Destruction of 2-14 skin growths2925558

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: 8628353380View full group profile
NameSpecialtyState
-MI
D E R M A T O L O G YTX
Dermatology, Dermatology, PathologyVA
Physician AssistantMN
Nurse PractitionerMI
D E R M A T O L O G YAZ
Physician AssistantMN
Physician AssistantIN
-IN
Physician AssistantIL

Reviews

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Frequently asked questions

What number should I use to identify FREDERICK WILLIAM ROBERTS (D.O.) for billing?
Administrative and clinical systems typically use NPI 1871591164 for FREDERICK WILLIAM ROBERTS (D.O.).
Is FREDERICK WILLIAM ROBERTS (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists FREDERICK WILLIAM ROBERTS (D.O.) as active.
What does the directory say FREDERICK WILLIAM ROBERTS (D.O.) does?
Insurance directories may phrase it differently, but here FREDERICK WILLIAM ROBERTS (D.O.) maps to Dermatology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to FREDERICK WILLIAM ROBERTS (D.O.)?
The directory associates FREDERICK WILLIAM ROBERTS (D.O.) with Lapeer, Michigan. Check all listed addresses for suites or satellite offices.
Why is information missing for FREDERICK WILLIAM ROBERTS (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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