MARK S ROBERTO (M.D.) – Family Medicine Physician, NPI 1750384681

MARK S ROBERTO (M.D.) is a healthcare provider. based in Springfield, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 35-04-6604-R (OH). The NPI Number for MARK S ROBERTO (M.D.) is 1750384681

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
MARK S ROBERTO (M.D.)
NPI
1750384681
Phone
(937) 399-7777
Address
3250 MIDDLE URBANA RD
Enumeration Date
24 May 2005
Last Update Date
17 December 2020

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
9373997777
Graduation Year
1980 (46 years ago)
PAC ID
7719910132
Group Practice PAC ID
0840104360
Professional Enrollment ID
I20100104000423
Address ID
OH455029285SP3250XRDXX400

Contacts

Secure Messaging
mroberto198002@direct.ketteringhealth.org
FHIR Endpoint
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:21State licenses:1Other namesUpdated within 12 months

4,431 FAMILY PRACTICE in OH

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Provider Addresses for MARK S ROBERTO (M.D.)

  • Middle Urbana Road, Springfield, Clark County, Ohio, 45503, United States

    SPRINGFIELD, OH 455029285

    Phone: (937) 399-7777

    Fax: (937) 399-6794

    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: 2010-01-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100104000423IFamily PracticeOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes14882$0
99213Established patient office or other outpatient visit, 20-29 minutes11877$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7272$0
G0008Administration of influenza virus vaccine3029$0
90662Influenza vaccine split virus, preservative free2928$0
View full utilization report →

Insurance plans in this area (ZIP 45502)

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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: 0840104360View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for MARK S ROBERTO (M.D.)?
The registry entry for MARK S ROBERTO (M.D.) shows NPI 1750384681.
Should I treat MARK S ROBERTO (M.D.) as an active provider?
Patients and plans typically see MARK S ROBERTO (M.D.) as active in the national extract.
What services align with MARK S ROBERTO (M.D.)'s listing?
MARK S ROBERTO (M.D.)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to MARK S ROBERTO (M.D.)?
MARK S ROBERTO (M.D.) shows a connection to Springfield, Ohio in registry-derived data.
Can I export MARK S ROBERTO (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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