JONATHAN D ROEBUCK
NPI 1013011626
Internal Medicine - Rheumatology in Fort Gordon, GA

Q: What is Jonathan Roebuck's NPI number?

The NPI number for Jonathan Roebuck is 1013011626. It was assigned to this individual provider in the NPPES registry on September 12, 2006. The provider is also known as Jonathan Roebuck MD.

Q: What is Jonathan Roebuck's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Roebuck was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 12, 2006PECOS EnrolledAccepts Medicare Assignment

DWIGHT DAVID EISENHOWER AMC, 300 E HOSPITAL RD, FORT GORDON, GA 30905(706) 787-4154 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 1, 2023, Jul 21, 2022, Mar 17, 2018 (3 updates tracked since 2018).

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About Jonathan D Roebuck NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN D ROEBUCK (NPI 1013011626) is an individual rheumatology provider in Fort Gordon, Georgia, licensed in Georgia (78234) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Phs Indian Hospital At Rosebud, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013011626

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameJONATHAN D ROEBUCK

Location AddressDWIGHT DAVID EISENHOWER AMC, 300 E HOSPITAL RDFort Gordon, GA 30905-0001

Mailing AddressDwight David Eisenhower Amc, 300 E Hospital RdFort Gordon, GA 30905-0001 · (706) 787-4154

Phone(706) 787-4154

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 1996

Enumeration DateSeptember 12, 2006

Last NPPES UpdateNovember 1, 20233 updates tracked since enumeration

NPPES CertifiedOctober 31, 2023

✔ NPI 1013011626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

Licenses✔ Licensed in GA · 78234✔ Licensed in MT · 59182

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

DWIGHT DAVID EISENHOWER AMC, Fort Gordon, GA 30905

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Other Names 1

Other Name (5)Jonathan Roebuck Md

Secondary Practice Locations 2

Location 1Walter Reed Bethesda, 8901 Rockville PikeBethesda, MD 20889-0001 · Phone (301) 295-4512

Location 2708 Broadwater AveBillings, MT 59101-2710 · Phone (406) 690-2002

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of North Dakota, Dean Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan D Roebuck is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931339199

PECOS Enrollment IDI20190130001893

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jonathan Roebuck reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Memorial Hospital Association

1,071 mi

Critical Access

512 SKYLINE BLVD
Cloquet, MN 55720

Reassigned Medicare billing, Minnesota enrollment
93 clinicians in this Medicare group

NPI 1003869082 (218) 879-4641

Glacial Ridge Hospital District

1,075 mi

Family Medicine

111 PLEASANT AVENUE
Brooten, MN 56316

Reassigned Medicare billing, Minnesota enrollment
Also billed through NPI 1538178520 (Minnesota)
111 clinicians in this Medicare group

NPI 1255348223 (320) 346-2272

Woodrow Wilson Keeble Memorial Health Care Center

1,144 mi

Clinic/Center

100 LAKE TRAVERSE DRIVE
Sisseton, SD 57262

Reassigned Medicare billing, Texas enrollment
50 clinicians in this Medicare group

NPI 1366471666 (605) 698-7606

Rosebud Indian Health Service

1,192 mi

General Acute Care Hospital

400 SOLDIER CREEK ROAD
Rosebud, SD 57570

Reassigned Medicare billing, Texas enrollment
386 clinicians in this Medicare group

NPI 1194757369 (605) 747-3245

Eagle Butte Indian Health Service Hospital

1,272 mi

Public Health or Welfare

24276 166TH STREET, AIRPORT ROAD
Eagle Butte, SD 57625

Reassigned Medicare billing, Texas enrollment
282 clinicians in this Medicare group

NPI 1558395848 (605) 964-7724

Quentin N Burdick Comprehensive Health Care Facility

1,392 mi

Rural

1300 HOSPITAL LOOP
Belcourt, ND 58316

Reassigned Medicare billing, Texas enrollment
193 clinicians in this Medicare group

NPI 1952346934 (701) 477-6111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Phs Indian Hospital At Rosebud

Acute Care Hospitals · Rosebud, SD

OwnershipGovernment - Federal

CMS Certification Number430084

Location400 Soldier Creek RoadRosebud, SD 57570 · Todd County

Emergency services

Eagle Butte Indian Health Service Hospital

Critical Access Hospitals · Eagle Butte, SD

OwnershipGovernment - Federal

CMS Certification Number431383

Location24276 166th Airport RoadEagle Butte, SD 57625 · Dewey County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Roebuck's NPI number?

The NPI number for Jonathan Roebuck is 1013011626. It was assigned to this individual provider in the NPPES registry on September 12, 2006. The provider is also known as Jonathan Roebuck MD.

Where is Jonathan Roebuck located?

Jonathan Roebuck practices at Dwight David Eisenhower Amc 300 E Hospital Rd, Fort Gordon, GA 30905. The listed phone number is (706) 787-4154.

What is Jonathan Roebuck's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Jonathan Roebuck enrolled in Medicare?

Yes. Jonathan Roebuck is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jonathan Roebuck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Roebuck reassigns Medicare benefits to 6 organizations: Community Memorial Hospital Association (Cloquet, MN), Glacial Ridge Hospital District (Brooten, MN), Woodrow Wilson Keeble Memorial Health Care Center (Sisseton, SD), Rosebud Indian Health Service (Rosebud, SD), Eagle Butte Indian Health Service Hospital (Eagle Butte, SD) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Roebuck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Roebuck accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of North Dakota, Dean Health Plan, HealthPartners and Sanford Health Plan and 1 other insurer list Jonathan Roebuck as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jonathan Roebuck affiliated with any hospitals?

According to CMS data, Jonathan Roebuck is affiliated with Phs Indian Hospital At Rosebud and Eagle Butte Indian Health Service Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Roebuck was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.