JASON ROBERTO (PA-C, ATC) – Physician Assistant, NPI 1215446158

JASON ROBERTO (PA-C, ATC) is a healthcare provider. based in Toledo, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C, ATC. They hold a License No. 5315089057 (MI). The NPI Number for JASON ROBERTO (PA-C, ATC) is 1215446158

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
JASON ROBERTO (PA-C, ATC)
NPI
1215446158
Phone
(734) 240-8480
Address
1 SEAGATE STE 800
Enumeration Date
22 September 2017
Last Update Date
3 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4198241444
Graduation Year
2017 (9 years ago)
PAC ID
9335415041
Group Practice PAC ID
2365348190
Professional Enrollment ID
I20181030003016
Address ID
OH435602168SY5200XRDXX300

Contacts

Secure Messaging
jroberto115206@epicdirect.promedica.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

6,066 PHYSICIAN ASSISTANT in MI

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Provider Addresses for JASON ROBERTO (PA-C, ATC)

  • 1 SEAGATE STE 800

    TOLEDO, OH 436041558

    Phone: (734) 240-8480

    Fax: (734) 384-0469

    Type: Mailing

  • 1420, North Monroe Street, Frenchtown Township, Monroe County, Michigan, 48162, United States

    MONROE, MI 481624211

    Phone: (734) 240-8480

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $179.

Total Amount is formed as General ($179) + Research ($0) + Ownership ($0) = $179.

Last reported payment date: 2024-05-31 • Largest payer in this snapshot: Innovation Technologies Inc ($108).

Total Amount

$179

General + Research + Ownership

Payments

3

Total payment records

General Amount

$179

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-31

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: 2018-10-30

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
I20171025001321IPhysician AssistantMITBD
I20181030003016IPhysician AssistantOHTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg77248$0
99213Established patient office or other outpatient visit, 20-29 minutes10481$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance4929$0
20610Aspiration and/or injection of fluid from large joint4628$0
99214Established patient office or other outpatient visit, 30-39 minutes4136$0
View full utilization report →

Insurance plans in this area (ZIP 43604)

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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: 2365348190View full group profile
NameSpecialtyState
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-OH
-OH
Nurse PractitionerOH
-OH
Certified Registered Nurse Anesthetist (Crna)TX
-OH
-OH

Reviews

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Frequently asked questions

Can I cross-check JASON ROBERTO (PA-C, ATC) using NPI 1215446158?
NPI 1215446158 belongs to JASON ROBERTO (PA-C, ATC); compare other details if you need extra assurance.
Would JASON ROBERTO (PA-C, ATC) appear as active to a payer?
You can treat JASON ROBERTO (PA-C, ATC) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to JASON ROBERTO (PA-C, ATC)?
JASON ROBERTO (PA-C, ATC)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Ohio is JASON ROBERTO (PA-C, ATC) registered?
Use Toledo, Ohio as the headline location for JASON ROBERTO (PA-C, ATC) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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