WILLIAM BOYD JR. ROBERSON (DO) – Family Medicine Physician, NPI 1750386413
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,050 EMERGENCY MEDICINE in TX
Provider Addresses for WILLIAM BOYD JR. ROBERSON (DO)
PO BOX 4207
LONGVIEW, TX 756064207
Phone: (903) 315-2868
Fax: (903) 657-1187
Type: Mailing
300 N High St
Henderson, TX 756525908
Phone: (903) 392-8203
Type: Location
106 W Rusk St
MT Enterprise, TX 756817581
Phone: (903) 822-3076
Fax: (866) 305-8303
Type: Location
105 ZEID BLVD
HENDERSON, TX 756526070
Phone: (903) 315-5615
Fax: (903) 657-1187
Type: Location
1115 US Highway 259 S
Henderson, TX 756543629
Phone: (903) 392-8203
Fax: (866) 835-6516
Type: Location
4002 S Loop 256 Ste K
Palestine, TX 758018402
Phone: (903) 729-3015
Fax: (877) 547-2231
Type: Location
PO BOX 489
MT ENTERPRISE, TX 756810489
Phone: (903) 392-8203
Fax: (866) 835-6516
Type: Mailing
1115 US HIGHWAY 259 S
HENDERSON, TX 756543629
Phone: (903) 392-8203
Fax: (866) 835-6516
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $522.
Total Amount is formed as General ($522) + Research ($0) + Ownership ($0) = $522.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($104).
Total Amount
$522
General + Research + Ownership
Payments
25
Total payment records
General Amount
$522
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-11-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041111000175 | I | Family Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75606)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | TX | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 813 | 504 |
Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | MS | |
| Physician Assistant | TX | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX |
Reviews
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