DR. ANDREW L ROBERTS (D.O.) – Family Medicine Physician, NPI 1164521977

DR. ANDREW L ROBERTS (D.O.) is a healthcare provider. based in Basin, Wyoming. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 7406A (WY). The NPI Number for DR. ANDREW L ROBERTS (D.O.) is 1164521977

Main info

Male
24 Years Of Experience
Name
DR. ANDREW L ROBERTS (D.O.)
NPI
1164521977
Phone
(307) 568-3311
Address
388 US HIGHWAY 20 S
Enumeration Date
21 September 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
4064882036
Graduation Year
2002 (24 years ago)
PAC ID
8325144801
Group Practice PAC ID
0749181535
Professional Enrollment ID
I20151111001909
Address ID
MT592703519SI216XXSWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

328 FAMILY PRACTICE in WY

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Provider Addresses for DR. ANDREW L ROBERTS (D.O.)

  • East 8th Street, Granada Royale, Odessa, Ector County, Texas, 79761, United States

    BASIN, WY 824108902

    Phone: (307) 568-3311

    Fax: (307) 568-2139

    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)

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: 2015-11-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20070430000189IFamily PracticeWYTBD
I20151111001909IFamily PracticeMTTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes309126$0
99238Hospital discharge day management, 30 minutes or less9893$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8740$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6055$0
99291Critical care, first 30-74 minutes5218$0
View full utilization report →

Insurance plans in this area (ZIP 82410)

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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: 0749181535View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YTN
Certified Registered Nurse Anesthetist (Crna)MT
Diagnostic RadiologyMN
-WA
Orthopedic SurgeryMT
-WA
-MT
Pain ManagementND
General SurgeryOH
Internal MedicineNY

Reviews

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Frequently asked questions

How do payers reference DR. ANDREW L ROBERTS (D.O.)?
For DR. ANDREW L ROBERTS (D.O.), use NPI 1164521977 as the unique 10-digit identifier.
Is there an active status for DR. ANDREW L ROBERTS (D.O.)?
For scheduling context, DR. ANDREW L ROBERTS (D.O.) is shown as active in the registry.
What clinical focus is listed for DR. ANDREW L ROBERTS (D.O.)?
At a glance, DR. ANDREW L ROBERTS (D.O.) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. ANDREW L ROBERTS (D.O.) located near Basin?
DR. ANDREW L ROBERTS (D.O.) currently maps to Basin, Wyoming in this extract.
Does DR. ANDREW L ROBERTS (D.O.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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