DWAYNE LEE ROBERTS (M.D.) – Ophthalmology Physician, NPI 1114923083

DWAYNE LEE ROBERTS (M.D.) is a healthcare provider. based in Fort worth, Texas. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. L8921 (TX). The NPI Number for DWAYNE LEE ROBERTS (M.D.) is 1114923083

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DWAYNE LEE ROBERTS (M.D.)
NPI
1114923083
Phone
(817) 332-2020
Address
1201 SUMMIT AVE
Enumeration Date
24 June 2005
Last Update Date
13 May 2014

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
8173322020
Graduation Year
1996 (30 years ago)
PAC ID
4385616192
Group Practice PAC ID
4587578364
Professional Enrollment ID
I20040811001198
Address ID
TX761024413FO1201XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,544 OPHTHALMOLOGY in TX

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Provider Addresses for DWAYNE LEE ROBERTS (M.D.)

  • 1201, Summit Avenue, Fort Worth, Tarrant County, Texas, 76102, United States

    FORT WORTH, TX 761024427

    Phone: (817) 332-2020

    Fax: (817) 332-4797

    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 48 Open Payments records for all available years, with a total value of $1,243.

Total Amount is formed as General ($1,243) + Research ($0) + Ownership ($0) = $1,243.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Amgen Inc. ($272).

Total Amount

$1,243

General + Research + Ownership

Payments

48

Total payment records

General Amount

$1,243

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2004-08-11

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
I20040811001198IOphthalmologyTXTBD

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
92014Established patient complete exam of visual system912892$0
92012Established patient problem focused exam of visual system472294$0
92060Exam to measure eye deviation and range of motion157110$0
92133Imaging of optic nerve126121$0
92004New patient complete exam of visual system126126$0
View full utilization report →

Insurance plans in this area (ZIP 76102)

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Provider's Procedures

DWAYNE LEE ROBERTS (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYTX92012Eye and medical examination for diagnosis and treatment, established patient537288

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: 4587578364View full group profile
NameSpecialtyState
-TX
-TX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P T O M E T R YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P T O M E T R YTX
O P H T H A L M O L O G YTX
Internal MedicineTX

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Frequently asked questions

Can I verify DWAYNE LEE ROBERTS (M.D.) with an NPI only?
You can start verification with NPI 1114923083 for DWAYNE LEE ROBERTS (M.D.), then check state licensing separately.
Is DWAYNE LEE ROBERTS (M.D.) still practicing?
DWAYNE LEE ROBERTS (M.D.) is currently listed as active in the public NPI registry.
What healthcare role does DWAYNE LEE ROBERTS (M.D.) hold?
Scheduling teams often label DWAYNE LEE ROBERTS (M.D.) under Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DWAYNE LEE ROBERTS (M.D.)?
DWAYNE LEE ROBERTS (M.D.)'s geographic hint is Fort Worth, Texas in our summary view.
Why does DWAYNE LEE ROBERTS (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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