JACK T ROBERTS JR. MD
NPI 1013958917
Hospitalist in Maryville, TN
About Jack T Roberts Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK T ROBERTS JR. MD (NPI 1013958917) is an individual hospitalist provider in Maryville, Tennessee, licensed in Tennessee (MD09957) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jack T Roberts Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jack Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Alcoa, TN 37701
- Reassigned Medicare billing, Tennessee enrollment
- 295 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARYVILLE, TN 37804
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 Jack Roberts's NPI number?
The NPI number for Jack Roberts is 1013958917. It was assigned to this individual provider in the NPPES registry on June 10, 2006.
Where is Jack Roberts located?
Jack Roberts practices at 907 E Lamar Alexander Pkwy, Maryville, TN 37804. The listed phone number is (865) 980-4897.
What is Jack Roberts's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Jack Roberts enrolled in Medicare?
Yes. Jack Roberts is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jack Roberts's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Roberts reassigns Medicare benefits to Blount Memorial Physician Group, Inc (Alcoa, TN). The 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 Jack Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jack Roberts was last updated on May 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.