EDWIN D ROBERTSON (PHD) – Clinical Neuropsychologist, NPI 1649200700
Clinical Neuropsychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,347 CLINICAL PSYCHOLOGIST in TX
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Provider Addresses for EDWIN D ROBERTSON (PHD)
Tyler Post Office, Mc Arthur Street, Tyler, Lincoln County, Minnesota, United States
TYLER, TX 757119477
Phone: (903) 594-2450
Fax: (903) 509-0493
Type: Mailing
UT Health Olympic Center at Tyler, 701, Olympic Plaza Circle, Tyler, Smith County, Texas, 75701, United States
TYLER, TX 757011950
Phone: (903) 596-3000
Fax: (903) 596-3006
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2004-03-09
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 |
|---|---|---|---|---|
| I20040309000857 | I | Clinical Psychologist | 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 |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 149 | 143 | $0 |
| 96132 | Evaluation of neuropsychological test, first hour | 90 | 61 | $0 |
| 90832 | Psychotherapy, 30 minutes | 42 | 28 | $0 |
| 96158 | Treatment of behavior impacting health, initial 30 minutes | 38 | 30 | $0 |
Insurance plans in this area (ZIP 75711)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Critical Care (Intensivists), Pulmonary Disease | TX | |
| Orthopedic Surgery | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| Internal Medicine | TX | |
| - | TX | |
| Physician Assistant | TX |
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