DR. JASON ANDREW ROBERTSON (MD) – Sports Medicine (Family Medicine) Physician, NPI 1750480174
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
161 SPORTS MEDICINE in TN
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Provider Addresses for DR. JASON ANDREW ROBERTSON (MD)
2415, McCallie Avenue, Highland Park, Glenwood, Ridgeside, Chattanooga, Hamilton County, Tennessee, 37404, United States
CHATTANOOGA, TN 374043322
Phone: (423) 624-2696
Fax: (423) 697-2055
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)
CMS reports 2 Open Payments records for all available years, with a total value of $140.
Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.
Last reported payment date: 2024-02-29 • Largest payer in this snapshot: DeRoyal Industries, Inc. ($120).
Total Amount
$140
General + Research + Ownership
Payments
2
Total payment records
General Amount
$140
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DeRoyal Industries, Inc. | $120 |
| Ferring Pharmaceuticals Inc. | $20 |
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: 2007-10-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071009000294 | I | Sports Medicine | TN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 709 | 424 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 449 | 290 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 358 | 358 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 347 | 224 | $0 |
| 73564 | X-ray of knee, 4 or more views | 173 | 146 | $0 |
Insurance plans in this area (ZIP 37404)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | TN | 73110 | X-ray of wrist, minimum of 3 views | 65 | 44 |
| FAMILY MEDICINE | TN | 73562 | X-ray of knee, 3 views | 15 | 12 |
| FAMILY MEDICINE | TN | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 13 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| - | TN | |
| - | TN | |
| Occupational Therapist In Private Practice | GA | |
| Orthopedic Surgery | TN | |
| Physical Therapist In Private Practice | TN | |
| Occupational Therapist In Private Practice | GA | |
| Physical Therapist In Private Practice | TN | |
| Physical Therapist In Private Practice | TN | |
| Physical Therapist In Private Practice | TN |
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