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ROBERTO TAPIA MD
NPI 1053940023
Obstetrics & Gynecology in Clarksville, TN

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
490 DUNLOP LN BLDG 2, CLARKSVILLE, TN 37040(931) 245-8100 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2024, Apr 2, 2020 (2 updates tracked since 2020).

About Roberto Tapia Md NPPES

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

ROBERTO TAPIA MD (NPI 1053940023) is an individual obstetrics & gynecology provider in Clarksville, Tennessee, licensed in Tennessee (71387) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2020).

NPPES Registry Identity

NPI1053940023
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameROBERTO TAPIACredential: MD
Location Address490 DUNLOP LN BLDG 2Clarksville, TN 37040-5007
Mailing AddressPo Box 3799Clarksville, TN 37043-3799
Phone(931) 245-8100
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2020
Enumeration DateApril 2, 2020
Last NPPES UpdateJune 17, 20242 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
✔ NPI 1053940023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TN · 71387
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
490 DUNLOP LN BLDG 2, Clarksville, TN 37040
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

Roberto Tapia Md 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 ID648716613
PECOS Enrollment IDI20240725004213
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37040 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DEVONA STONE
Nurse Practitioner
490 DUNLOP LN BLDG 2
CLARKSVILLE, TN 37040
Montgomery County (931) 245-7000
DR. SANDRA JEAN BOSMAN M.D.
Obstetrics & Gynecology
490 DUNLOP LN BLDG 2
CLARKSVILLE, TN 37040
Montgomery County (931) 245-7000
SONIA JACKSON
Obstetrics & Gynecology
490 DUNLOP LN BLDG 2
CLARKSVILLE, TN 37040
Montgomery County (931) 245-8100

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 Roberto Tapia's NPI number?

The NPI number for Roberto Tapia is 1053940023. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Roberto Tapia located?

Roberto Tapia practices at 490 Dunlop Ln Bldg 2, Clarksville, TN 37040. The listed phone number is (931) 245-8100.

What is Roberto Tapia's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Roberto Tapia enrolled in Medicare?

Yes. Roberto Tapia 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 Roberto Tapia accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Roberto Tapia 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.

When was this NPI record last updated?

The NPPES record for Roberto Tapia was last updated on June 17, 2024. 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.