ROBERSON CHIROPRACTIC PLLC
NPI 1013882992
Chiropractor in Tyler, TX
About Roberson Chiropractic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBERSON CHIROPRACTIC PLLC (NPI 1013882992), doing business as Kayak Chiropractic, is a healthcare organization registered as a chiropractor in Tyler, Texas and active in the NPI registry since October 2025. The organization lists Matthew D Roberson, Sole Member/owner/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Roberson Chiropractic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Roberson Chiropractic PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Roberson Chiropractic PLLC's NPI number?
The NPI number for Roberson Chiropractic PLLC is 1013882992. It was assigned to this organization in the NPPES registry on October 9, 2025. The provider is doing business as Kayak Chiropractic.
Where is Roberson Chiropractic PLLC located?
Roberson Chiropractic PLLC is located at 310 W Rusk St, Tyler, TX 75701. The listed phone number is (903) 515-5535.
What is Roberson Chiropractic PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Roberson Chiropractic PLLC enrolled in Medicare?
Yes. Roberson Chiropractic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Roberson Chiropractic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Roberson Chiropractic PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Roberson Chiropractic PLLC was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Roberson Chiropractic Pllc · NPI 1013882992
Chiropractor organization in Tyler, Texas. Organization record, active in the CMS NPPES registry since October 9, 2025.
## Identity
- **NPI:** 1013882992 (Entity type: Organization)
- **Enumerated:** October 9, 2025
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Also known as:** KAYAK CHIROPRACTIC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Matthew Roberson, SOLE MEMBER/OWNER/PRESIDENT
## Practice location
- **Address:** 310 W RUSK ST, Tyler, TX 75701-1513
- **Phone:** (903) 515-5535
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1013882992) · Data from the CMS NPPES public registry.