DR. E. DWAIN ROBERTS (M.D.) – Diagnostic Radiology Physician, NPI 1013997782
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,218 DIAGNOSTIC RADIOLOGY in MO
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Provider Addresses for DR. E. DWAIN ROBERTS (M.D.)
PO BOX 104240
JEFFERSON CITY, MO 651104240
Phone: (573) 556-7755
Fax: (573) 761-3599
Type: Mailing
1241, West Stadium Boulevard, Jefferson City, Cole County, Missouri, 65109, United States
JEFFERSON CITY, MO 651096023
Phone: (573) 556-7755
Fax: (573) 761-3599
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2023-06-29 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $15 |
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: 2010-05-21
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 |
|---|---|---|---|---|
| I20100521000846 | I | Diagnostic Radiology | MO | 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 |
|---|---|---|---|---|
| 77067 | Screening mammography | 283 | 283 | $0 |
| 77063 | Screening 3d breast mammography | 283 | 283 | $0 |
| 71046 | X-ray of chest, 2 views | 168 | 158 | $0 |
| 73721 | Mri scan of leg joint without contrast | 100 | 96 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 75 | 62 | $0 |
Insurance plans in this area (ZIP 65110)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MO | 71250 | CT scan chest | 13 | 13 |
| DIAGNOSTIC RADIOLOGY | MO | 73110 | X-ray of wrist, minimum of 3 views | 17 | 16 |
| DIAGNOSTIC RADIOLOGY | MO | 73140 | X-ray of fingers, minimum of 2 views | 17 | 17 |
| DIAGNOSTIC RADIOLOGY | MO | 73630 | X-ray of foot, minimum of 3 views | 20 | 20 |
| DIAGNOSTIC RADIOLOGY | MO | 74177 | CT scan of abdomen and pelvis with contrast | 86 | 83 |
| DIAGNOSTIC RADIOLOGY | MO | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 32 | 32 |
| DIAGNOSTIC RADIOLOGY | MO | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 16 | 15 |
| DIAGNOSTIC RADIOLOGY | MO | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 22 | 22 |
| DIAGNOSTIC RADIOLOGY | MO | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 23 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Neuropsychiatry, Neurology | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Diagnostic Radiology | MO | |
| Internal Medicine | MO | |
| Family Practice | MO | |
| Neuropsychiatry, Neurology | MO | |
| - | MO | |
| A L L E R G Y/ I M M U N O L O G Y | WA | |
| Nurse Practitioner | MO | |
| - | MO |
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