MR. DAVID ALLEN ROBERTS (PA-C) – Physician Assistant, NPI 1346363231
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
Provider Addresses for MR. DAVID ALLEN ROBERTS (PA-C)
2012 Greystone Sq
Jackson, TN 383053575
Phone: (731) 664-6998
Fax: (731) 266-4716
Type: Location
2012 GREYSTONE SQ
JACKSON, TN 383053575
Phone: (731) 664-6998
Fax: (731) 266-4716
Type: Mailing
350 E PARKVIEW ST
DYERSBURG, TN 380243122
Phone: (731) 334-5312
Type: Location
17 CENTRE PLAZA DR
JACKSON, TN 383052862
Phone: (731) 512-0104
Fax: (731) 668-7388
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $863.
Total Amount is formed as General ($863) + Research ($0) + Ownership ($0) = $863.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Amgen Inc. ($233).
Total Amount
$863
General + Research + Ownership
Payments
30
Total payment records
General Amount
$863
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $233 |
| E.R. Squibb & Sons, L.L.C. | $174 |
| Abbott Laboratories | $143 |
| Nuwellis, Inc. | $75 |
| PFIZER INC. | $72 |
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: 2025-11-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070803000542 | I | Physician Assistant | TN | TBD |
| I20251105000380 | I | Physician Assistant | MS | TBD |
| I20251105000718 | I | Physician Assistant | AR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 579 | 391 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 221 | 200 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 204 | 122 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 143 | 85 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 124 | 121 | $0 |
Insurance plans in this area (ZIP 38305)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Emergency Medicine | TN | |
| Emergency Medicine | WV | |
| - | AR | |
| Emergency Medicine | MA | |
| - | TN | |
| - | KY | |
| Emergency Medicine, Internal Medicine, Emergency Medicine | FL | |
| Emergency Medicine | TX | |
| Family Practice, Emergency Medicine | AR |
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