KRISTOFER WILLIAM ROBERTS – Radiation Oncology Physician, NPI 1023403490

KRISTOFER WILLIAM ROBERTS is a healthcare provider. based in Rochester, Minnesota. specializing in RADIATION ONCOLOGY. They hold a License No. 61187 (MN). The NPI Number for KRISTOFER WILLIAM ROBERTS is 1023403490

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
KRISTOFER WILLIAM ROBERTS
NPI
1023403490
Phone
(507) 284-2511
Address
200 1ST ST SW
Enumeration Date
2 April 2015
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7817448780
Graduation Year
2015 (11 years ago)
PAC ID
5597050385
Group Practice PAC ID
0840276838
Professional Enrollment ID
I20200715001705
Address ID
MA018050001BU41XXXRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

157 RADIATION ONCOLOGY in MN

Provider Addresses for KRISTOFER WILLIAM ROBERTS

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    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)

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: 2020-07-15

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
I20200714002930IRadiation OncologyNHTBD
I20200715001705IRadiation OncologyMATBD

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
77014Ct guidance for insertion of radiation therapy fields1,221156$0
77427Radiation treatment management, 5 treatment sessions333148$0
77300Calculation of radiation therapy dose29382$0
77334Design and construction of complex radiation treatment device18668$0
99214Established patient office or other outpatient visit, 30-39 minutes13195$0
View full utilization report →

Insurance plans in this area (ZIP 55905)

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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: 0840276838View full group profile
NameSpecialtyState
Radiation OncologyNH
Radiation OncologyMA
Radiation OncologyMO
Radiation OncologyNH
Radiation OncologyDC
Radiation OncologyNH
Radiation OncologyNH
Radiation OncologyNH
Radiation OncologyMA
Radiation OncologyIL

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Frequently asked questions

Is KRISTOFER WILLIAM ROBERTS listed with a National Provider Identifier?
Yes — KRISTOFER WILLIAM ROBERTS has NPI 1023403490 on file in the registry.
Is KRISTOFER WILLIAM ROBERTS shown as active in public data?
Registry records indicate KRISTOFER WILLIAM ROBERTS maintains an active NPI.
What kind of doctor is KRISTOFER WILLIAM ROBERTS?
KRISTOFER WILLIAM ROBERTS is associated with Radiation Oncology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is KRISTOFER WILLIAM ROBERTS located near Rochester?
KRISTOFER WILLIAM ROBERTS currently maps to Rochester, Minnesota in this extract.
Can I trust this NPI listing for KRISTOFER WILLIAM ROBERTS?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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