SUSAN DIANE ROBERTS (PA-C) – Medical Physician Assistant, NPI 1114966686

SUSAN DIANE ROBERTS (PA-C) is a healthcare provider. based in Middleburg, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. OA000816 (PA). The NPI Number for SUSAN DIANE ROBERTS (PA-C) is 1114966686

Main info

Female
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN DIANE ROBERTS (PA-C)
NPI
1114966686
Phone
(570) 837-2123
Address
7 DOCK HILL RD
Enumeration Date
6 June 2006
Last Update Date
5 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
9032121215
Group Practice PAC ID
0244124212
Professional Enrollment ID
I20060707000303
Address ID
PA178709115SE270XXDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

Provider Addresses for SUSAN DIANE ROBERTS (PA-C)

  • 7 DOCK HILL RD

    MIDDLEBURG, PA 178428910

    Phone: (570) 837-2123

    Fax: (570) 837-2185

    Type: Mailing

  • 131 JPM RD STE A

    LEWISBURG, PA 178379309

    Phone: (570) 523-6115

    Fax: (570) 523-6178

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 241 Open Payments records for all available years, with a total value of $3,954.

Total Amount is formed as General ($3,954) + Research ($0) + Ownership ($0) = $3,954.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Novo Nordisk Inc ($685).

Total Amount

$3,954

General + Research + Ownership

Payments

241

Total payment records

General Amount

$3,954

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2006-07-07

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
I20060707000303IPhysician AssistantPATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes340214$0
99214Established patient office or other outpatient visit, 30-39 minutes9756$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4141$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month3114$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2727$0
View full utilization report →

Insurance plans in this area (ZIP 17842)

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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: 0244124212View full group profile

Reviews

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Frequently asked questions

How do I look up SUSAN DIANE ROBERTS (PA-C) by NPI?
Use NPI 1114966686 when you need to reference SUSAN DIANE ROBERTS (PA-C) in forms, claims, or directories.
Does this profile mean SUSAN DIANE ROBERTS (PA-C) is currently active?
Yes — SUSAN DIANE ROBERTS (PA-C) appears active in the national provider directory.
Can you summarize SUSAN DIANE ROBERTS (PA-C)'s specialty in plain language?
Clinically, the directory lists SUSAN DIANE ROBERTS (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does SUSAN DIANE ROBERTS (PA-C) practice in Pennsylvania?
You will see Middleburg, Pennsylvania on file for SUSAN DIANE ROBERTS (PA-C) alongside any extra practice locations.
How can I contact SUSAN DIANE ROBERTS (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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