CHELSEA ROBERTS (MD) – Family Medicine Physician, NPI 1124580717

CHELSEA ROBERTS (MD) is a healthcare provider. based in Portland, Oregon. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. DR.0068604 (CO). The NPI Number for CHELSEA ROBERTS (MD) is 1124580717

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CHELSEA ROBERTS (MD)
NPI
1124580717
Phone
(503) 494-8573
Address
3181 SW SAM JACKSON PARK RD
Enumeration Date
2 April 2019
Last Update Date
16 September 2024

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
5036811350
Graduation Year
2019 (7 years ago)
PAC ID
8123360799
Group Practice PAC ID
7416173414
Professional Enrollment ID
I20231005001664
Address ID
OR971238252HI7545XHWYX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:7State licenses:3Digital endpointsOther names

2,083 FAMILY PRACTICE in OR

Provider Addresses for CHELSEA ROBERTS (MD)

  • 3181 SW SAM JACKSON PARK RD

    PORTLAND, OR 972393011

    Phone: (503) 494-8573

    Type: Location

  • 3055 Roslyn St Unit 100

    Denver, CO 802383324

    Phone: (720) 552-2606

    Fax: (720) 848-9002

    Type: Location

  • Roslyn Street, Denver, Denver County, Colorado, 80230, United States

    DENVER, CO 802383324

    Phone: (720) 552-2606

    Fax: (720) 848-9002

    Type: Mailing

  • PO BOX 110429

    AURORA, CO 800420429

    Phone:

    Type: Mailing

  • PO BOX 3590

    PORTLAND, OR 972083590

    Phone:

    Type: Mailing

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: 2023-10-05

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
I20231005001664IFamily PracticeORTBD

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 minutes2614$0
99213Established patient office or other outpatient visit, 20-29 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 97239)

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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: 7416173414View full group profile
NameSpecialtyState
U R O L O G YOR
Physician AssistantCA
Physician AssistantOR
N E U R O L O G YOR
Emergency MedicineCO
-OR
Physician AssistantOR
Physician AssistantOR
-OR
Emergency MedicineOR

Reviews

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Frequently asked questions

Is CHELSEA ROBERTS (MD) listed with a National Provider Identifier?
Yes — CHELSEA ROBERTS (MD) has NPI 1124580717 on file in the registry.
Active or inactive — what applies to CHELSEA ROBERTS (MD)?
You should see CHELSEA ROBERTS (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for CHELSEA ROBERTS (MD)?
At a glance, CHELSEA ROBERTS (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is CHELSEA ROBERTS (MD) located near Portland?
CHELSEA ROBERTS (MD) currently maps to Portland, Oregon in this extract.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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