NATHAN J ROBERTS (MD) – Surgery Physician, NPI 1972884757

NATHAN J ROBERTS (MD) is a healthcare provider. based in Wilmington, Ohio. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 036140792 (IL). The NPI Number for NATHAN J ROBERTS (MD) is 1972884757

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN J ROBERTS (MD)
NPI
1972884757
Phone
(937) 382-6611
Address
610 W MAIN ST
Enumeration Date
7 September 2011
Last Update Date
29 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5132467000
Graduation Year
2011 (15 years ago)
PAC ID
7012201064
Group Practice PAC ID
1850570458
Professional Enrollment ID
I20171010000705
Address ID
OH452202475CI379XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,423 GENERAL SURGERY in IL

Provider Addresses for NATHAN J ROBERTS (MD)

  • 610 W MAIN ST

    WILMINGTON, OH 451772125

    Phone: (937) 382-6611

    Type: Mailing

  • 2160 S 1ST AVE

    MAYWOOD, IL 601533328

    Phone: (708) 216-9000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $296.

Total Amount is formed as General ($296) + Research ($0) + Ownership ($0) = $296.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($100).

Total Amount

$296

General + Research + Ownership

Payments

12

Total payment records

General Amount

$296

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

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: 2017-10-10

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171010000705IGeneral SurgeryOHTBD

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
99203New patient office or other outpatient visit, 30-44 minutes3737$0
99213Established patient office or other outpatient visit, 20-29 minutes2020$0
45380Biopsy of large bowel using a flexible endoscope1414$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1413$0
99212Established patient office or other outpatient visit, 10-19 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 45177)

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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: 1850570458View full group profile
NameSpecialtyState
Radiation OncologyOH
P O D I A T R YOH
H O S P I T A L I S TOH
Physician AssistantOH
H O S P I T A L I S TIL
Physical Therapist In Private PracticeOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Orthopedic SurgeryOH
Hospitalist, Internal MedicineOH
H O S P I T A L I S TOH

Reviews

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Frequently asked questions

What identifier follows NATHAN J ROBERTS (MD) across health systems?
The NPI 1972884757 uniquely identifies NATHAN J ROBERTS (MD) in U.S. healthcare data.
Should I treat NATHAN J ROBERTS (MD) as an active provider?
Patients and plans typically see NATHAN J ROBERTS (MD) as active in the national extract.
What does the directory say NATHAN J ROBERTS (MD) does?
Insurance directories may phrase it differently, but here NATHAN J ROBERTS (MD) maps to Surgery Physician. Clinical services aligned with this taxonomy classification.
What city is tied to NATHAN J ROBERTS (MD)?
The directory associates NATHAN J ROBERTS (MD) with Wilmington, Ohio. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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