JACOB AARON ROBERTS (DO) – Emergency Medicine Physician, NPI 1265474472

JACOB AARON ROBERTS (DO) is a healthcare provider. based in West plains, Missouri. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 2008004927 (MO). The NPI Number for JACOB AARON ROBERTS (DO) is 1265474472

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
JACOB AARON ROBERTS (DO)
NPI
1265474472
Phone
(417) 256-9111
Address
1100 N Kentucky Ave
Enumeration Date
12 June 2006
Last Update Date
12 March 2025

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4178202115
Graduation Year
2001 (25 years ago)
PAC ID
7517975071
Group Practice PAC ID
7416867593
Professional Enrollment ID
I20081007000686
Address ID
MO658042203SP1235XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

1,351 EMERGENCY MEDICINE in MO

Provider Addresses for JACOB AARON ROBERTS (DO)

  • 1100 N Kentucky Ave

    West Plains, MO 657752029

    Phone: (417) 256-9111

    Type: Location

  • 505, South 336th Street, Federal Way, King County, Washington, 98003, United States

    SUITE 600

    FEDERAL WAY, WA 980036328

    Phone: (253) 838-6180

    Fax: (253) 838-6418

    Type: Mailing

  • Harrison Avenue, South Fairmount, Cincinnati, Hamilton County, Ohio, 45214-1613, United States

    HARRISON, AR 726012926

    Phone: (870) 365-2000

    Fax: (360) 738-6377

    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 $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-10-11 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-11

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: 2014-05-12

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
I20081007000686IEmergency MedicineMOTBD
I20140512000987IEmergency MedicineARTBD

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
99284Emergency department visit with moderate level of medical decision making242234$0
99285Emergency department visit with high level of medical decision making154150$0
99283Emergency department visit with low level of medical decision making4847$0
View full utilization report →

Insurance plans in this area (ZIP 65775)

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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: 7416867593View full group profile
NameSpecialtyState
-MO
Emergency MedicineTX
Family Practice, Emergency MedicineVA
Emergency MedicineMO
-MO
Emergency MedicineGA
Emergency MedicineUT
-MO
Emergency MedicineAK
Emergency MedicineMO

Reviews

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Frequently asked questions

How is JACOB AARON ROBERTS (DO) identified in CMS data?
CMS-hosted NPPES data lists JACOB AARON ROBERTS (DO) with NPI 1265474472.
Can I rely on JACOB AARON ROBERTS (DO) being an active provider?
As of the registry snapshot, JACOB AARON ROBERTS (DO) is marked active.
What taxonomy line describes JACOB AARON ROBERTS (DO)?
For research purposes, treat JACOB AARON ROBERTS (DO) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is JACOB AARON ROBERTS (DO) based?
JACOB AARON ROBERTS (DO) is tied to West Plains, Missouri in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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