MARY ROBERTS (PA-C) – Physician Assistant, NPI 1447969787
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
Provider Addresses for MARY ROBERTS (PA-C)
5104 Sockeye Ct
Columbia, MO 652036489
Phone: (573) 999-1692
Type: Location
105 N KEENE ST STE 201
COLUMBIA, MO 652018131
Phone: (573) 499-4990
Fax: (573) 442-2120
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 97 Open Payments records for all available years, with a total value of $2,799.
Total Amount is formed as General ($2,799) + Research ($0) + Ownership ($0) = $2,799.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Medtronic, Inc. ($1,309).
Total Amount
$2,799
General + Research + Ownership
Payments
97
Total payment records
General Amount
$2,799
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,309 |
| Sumitomo Pharma America, Inc. | $221 |
| Axonics, Inc. | $202 |
| Becton, Dickinson and Company | $195 |
| UROGEN PHARMA, INC. | $140 |
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: 2023-07-10
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 |
|---|---|---|---|---|
| I20230710002200 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 342 | 271 | $0 |
| 82570 | Creatinine level to test for kidney function or muscle injury | 342 | 271 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 266 | 218 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 141 | 114 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 45 | 45 | $0 |
Insurance plans in this area (ZIP 65203)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | MO | |
| Radiation Oncology | MO | |
| Radiation Oncology | MO | |
| - | MO | |
| Hematology/Oncology, Hematology | MO | |
| Radiation Oncology | MO | |
| H E M A T O L O G Y/ O N C O L O G Y | MO | |
| H E M A T O L O G Y/ O N C O L O G Y | IA | |
| Radiation Oncology | MO | |
| U R O L O G Y | MO |
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