PRESTON WILSON ROBERTS (M.D.) – Diagnostic Radiology Physician, NPI 1376787036
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,262 DIAGNOSTIC RADIOLOGY in WA
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Provider Addresses for PRESTON WILSON ROBERTS (M.D.)
9040 FITZSIMMONS DR
JOINT BASE LEWIS MCCHORD, WA 984311000
Phone: (253) 968-5064
Type: Mailing
Madigan Army Medical Center, 9040, Jackson Avenue, Tacoma, Pierce County, Washington, 98431, United States
TACOMA, WA 984311000
Phone: (253) 968-5064
Type: Location
52 W UNDERWOOD ST
ORLANDO, FL 328061110
Phone: (321) 842-8475
Type: Mailing
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-07-21
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 |
|---|---|---|---|---|
| I20220721003900 | I | Diagnostic Radiology | FL | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 245 | 241 | $0 |
| 70450 | Ct scan head or brain without contrast | 66 | 66 | $0 |
| 73502 | X-ray of hip, 2-3 views | 23 | 23 | $0 |
| 74018 | X-ray of abdomen, 1 view | 23 | 23 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 23 | 23 | $0 |
Insurance plans in this area (ZIP 98431)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology, Interventional Radiology | NY | |
| Diagnostic Radiology, Nuclear Medicine | FL | |
| - | FL | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology, Interventional Radiology | MA |
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