JAY WAYNE ROBERTS (D.O.) – Surgery Physician, NPI 1295150522
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,644 GENERAL SURGERY in TX
Provider Addresses for JAY WAYNE ROBERTS (D.O.)
2501 PARKVIEW DR
SUITE 560
FORT WORTH, TX 761025824
Phone: (817) 850-1100
Fax: (817) 850-1104
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 78 Open Payments records for all available years, with a total value of $67,972.
Total Amount is formed as General ($67,972) + Research ($0) + Ownership ($0) = $67,972.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($38,766).
Total Amount
$67,972
General + Research + Ownership
Payments
78
Total payment records
General Amount
$67,972
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $38,766 |
| Medical Device Business Services, Inc. | $15,803 |
| Ethicon Inc. | $11,556 |
| Ethicon US, LLC | $1,367 |
| TELA Bio, Inc. | $304 |
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: 2015-07-13
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 |
|---|---|---|---|---|
| I20150713002520 | I | General Surgery | TX | 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 | 19 | 17 | $0 |
Insurance plans in this area (ZIP 76102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| General Surgery | TX | |
| General Surgery | TX | |
| General Surgery | TX |
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