DR. THOMAS SCOTT ROBERTS M.D.
NPI 1053421511
Family Medicine in Seymour, IN

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1130 MEDICAL PL, SEYMOUR, IN 47274(812) 519-1552(812) 519-1774 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2023, Dec 1, 2020 (2 updates tracked since 2020).

About Dr. Thomas Scott Roberts M.d. NPPES

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

DR. THOMAS SCOTT ROBERTS M.D. (NPI 1053421511) is an individual family medicine provider in Seymour, Indiana, licensed in Indiana (01034569A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Schneck Medical Center, and is a graduate of Indiana University School Of Medicine (1985).

NPPES Registry Identity

NPI1053421511
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THOMAS SCOTT ROBERTSCredential: M.D.
Location Address1130 MEDICAL PLSeymour, IN 47274-2640
Mailing Address1130 Medical PlSeymour, IN 47274-2640 · (812) 519-1552 · Fax (812) 519-1774
Fax(812) 519-1774
Sole ProprietorYes
Medical School CMSIndiana University School Of MedicineGraduated 1985
Enumeration DateAugust 30, 2006
Last NPPES UpdateOctober 2, 20232 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
NPI 1053421511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 01034569A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1130 MEDICAL PL, Seymour, IN 47274

Other Identifiers 1

Medicaid100140640AIN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas Scott Roberts M.d. 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 ID9739240458
PECOS Enrollment IDI20081212000232
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.

Hospital Affiliations CMS Care Compare

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

Schneck Medical Center

Acute Care Hospitals · Seymour, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150065
Location411 W Tipton StSeymour, IN 47274 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47274 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1130 MEDICAL PL
SEYMOUR, IN 47274
Nurse Practitioner
1130 MEDICAL PL
SEYMOUR, IN 47274
Physician Assistant
1130 MEDICAL PL
SEYMOUR, IN 47274
Family Medicine
1130 MEDICAL PL
SEYMOUR, IN 47274
Nurse Practitioner (Family)
1130 MEDICAL PL
SEYMOUR, IN 47274

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 Thomas Roberts's NPI number?

The NPI number for Thomas Roberts is 1053421511. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Thomas Roberts located?

Thomas Roberts practices at 1130 Medical Pl, Seymour, IN 47274. The listed phone number is (812) 519-1552.

What is Thomas Roberts's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Roberts enrolled in Medicare?

Yes. Thomas Roberts 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.

What insurance does Thomas Roberts accept?

Health plans from CareSource list Thomas Roberts 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 Thomas Roberts affiliated with any hospitals?

According to CMS data, Thomas Roberts is affiliated with Schneck Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Roberts was last updated on October 2, 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.