DR. DOUGLAS ROBERTS M.D.
NPI 1083698062
Internal Medicine - Rheumatology in Sacramento, CA

Active since December 02, 2005PECOS Enrolled
70.99/100
CMS Quality Rating
500 UNIVERSITY AVE STE 230, SUITE 230, SACRAMENTO, CA 95825(916) 565-1989(916) 646-4036 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Douglas Roberts M.d. NPPES

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

DR. DOUGLAS ROBERTS M.D. (NPI 1083698062) is an individual rheumatology provider in Sacramento, California, licensed in California (G56980) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083698062
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. DOUGLAS ROBERTSCredential: M.D.
Location Address500 UNIVERSITY AVE STE 230, SUITE 230Sacramento, CA 95825-6524
Mailing Address500 University Ave Ste 230, Suite 230Sacramento, CA 95825-6524 · (916) 565-1989 · Fax (916) 646-4036
Fax(916) 646-4036
Sole ProprietorYes
Enumeration DateDecember 2, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1083698062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in CA · G56980
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.

500 UNIVERSITY AVE STE 230, Sacramento, CA 95825

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Douglas Roberts M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
437 services218 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
95 services76 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95825 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

70.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality55.48
Improvement Activities40
Cost62.67

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
0%372 patients1/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
99%2,590 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
32%967 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%2,130 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 693 patients
0%693 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
65%43 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 505 patients
Patients totalRate: 1% · 505 patients
1%505 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Douglas Roberts's NPI number?

The NPI number for Douglas Roberts is 1083698062. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Douglas Roberts located?

Douglas Roberts practices at 500 University Ave Ste 230 Suite 230, Sacramento, CA 95825. The listed phone number is (916) 565-1989.

What is Douglas Roberts's specialty?

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

Is Douglas Roberts enrolled in Medicare?

Yes. Douglas Roberts is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Douglas Roberts was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.