TIMOTHY BOYD ROBERSON (PA-C) – Physician Assistant, NPI 1194059071

TIMOTHY BOYD ROBERSON (PA-C) is a healthcare provider. based in Henderson, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA06374 (TX). The NPI Number for TIMOTHY BOYD ROBERSON (PA-C) is 1194059071

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY BOYD ROBERSON (PA-C)
NPI
1194059071
Phone
(903) 657-7581
Address
105 ZEID BLVD
Enumeration Date
25 September 2009
Last Update Date
7 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9402225936
Graduation Year
2009 (17 years ago)
PAC ID
2567509532
Group Practice PAC ID
0941679260
Professional Enrollment ID
I20091023000163
Address ID
TX76226XXXXARXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for TIMOTHY BOYD ROBERSON (PA-C)

  • 105 ZEID BLVD

    HENDERSON, TX 756526070

    Phone: (903) 657-7581

    Fax: (903) 657-1187

    Type: Location

  • 1309 5TH ST

    ARGYLE, TX 762261235

    Phone: (903) 504-4587

    Type: Location

  • Longview Post Office, 128, Morrison Road, Village of Longview, Alberta, T0L 1H0, Canada

    LONGVIEW, TX 756062701

    Phone: (903) 657-7581

    Fax: (903) 657-1187

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 294 Open Payments records for all available years, with a total value of $6,414.

Total Amount is formed as General ($6,414) + Research ($0) + Ownership ($0) = $6,414.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,182).

Total Amount

$6,414

General + Research + Ownership

Payments

294

Total payment records

General Amount

$6,414

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2009-10-23

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
I20091023000163IPhysician AssistantTXTBD

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 minutes279205$0
99213Established patient office or other outpatient visit, 20-29 minutes6651$0
J1030Injection, methylprednisolone acetate, 40 mg5434$0
20610Aspiration and/or injection of fluid from large joint4827$0
View full utilization report →

Insurance plans in this area (ZIP 75652)

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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: 0941679260View full group profile
NameSpecialtyState
Family PracticeAR
General PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerAR

Reviews

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Frequently asked questions

What federal number belongs to TIMOTHY BOYD ROBERSON (PA-C)?
The federal identifier for TIMOTHY BOYD ROBERSON (PA-C) is NPI 1194059071.
Is TIMOTHY BOYD ROBERSON (PA-C) currently active in the NPI registry?
CMS-published data lists TIMOTHY BOYD ROBERSON (PA-C) as an active registrant.
What does TIMOTHY BOYD ROBERSON (PA-C) treat or focus on?
Patients typically see TIMOTHY BOYD ROBERSON (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place TIMOTHY BOYD ROBERSON (PA-C)?
The snapshot lists Henderson, Texas for TIMOTHY BOYD ROBERSON (PA-C); download NPPES for the complete set.
How can I contact TIMOTHY BOYD ROBERSON (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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