MICHAEL ROBERTSON MD
NPI 1093717027
Internal Medicine - Nephrology in Rockford, IL

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
612 ROXBURY RD, ROCKFORD, IL 61107(815) 227-8300(815) 227-8301 Get Directions Write a Review

NPPES record last updated: April 22, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Robertson Md NPPES

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

MICHAEL ROBERTSON MD (NPI 1093717027) is an individual nephrology provider in Rockford, Illinois, licensed in Illinois (036108880) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2000).

NPPES Registry Identity

NPI1093717027
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMICHAEL ROBERTSONCredential: MD
Location Address612 ROXBURY RDRockford, IL 61107-5089
Mailing Address612 Roxbury RdRockford, IL 61107-5089 · (815) 227-8300 · Fax (815) 227-8301
Fax(815) 227-8301
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2000
Enumeration DateAugust 10, 2005
Last NPPES UpdateApril 22, 2011
NPI 1093717027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in IL · 036108880
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
612 ROXBURY RD, Rockford, IL 61107

Other Identifiers 8

Medicare UPINI26013IL
Medicare PINK51148IL
Medicare PINK18005IL
Medicare PINCK5424IL
Other1616108IL · Bcbs
Medicare PIN211215IL
Medicaid35332700WI
Medicare PINP00228774IL

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

Michael Robertson 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 ID648225680
PECOS Enrollment IDI20090813000142
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 16

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
981 services168 patients
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.
856 services589 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
545 services164 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
507 services196 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
276 services68 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
153 services73 patients

Hospital Affiliations CMS Care Compare 5

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

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Northwestern Medicine Kishwaukee Hospital

Acute Care Hospitals · Dekalb, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140286
LocationOne Kish Hospital DriveDekalb, IL 60115 · De Kalb County
Emergency services Birthing friendly

Rochelle Community Hospital

Critical Access Hospitals · Rochelle, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141312
Location900 N 2nd StRochelle, IL 61068 · Ogle County
Emergency services

Beloit Health System

Acute Care Hospitals · Beloit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520100
Location1969 W Hart RdBeloit, WI 53511 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61107 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%411 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims2,160 services$0.54 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,980 services$0.99 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier12 claims12 services$17.36 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier17 claims17 services$11.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

Internal Medicine (Nephrology)
612 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Nephrology)
612 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Nephrology)
612 ROXBURY RD
ROCKFORD, IL 61107
Family Medicine
612 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Nephrology)
612 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Nephrology)
612 ROXBURY RD
ROCKFORD, IL 61107
Nurse Practitioner
612 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Nephrology)
612 ROXBURY RD
ROCKFORD, IL 61107

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 Michael Robertson's NPI number?

The NPI number for Michael Robertson is 1093717027. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Michael Robertson located?

Michael Robertson practices at 612 Roxbury Rd, Rockford, IL 61107. The listed phone number is (815) 227-8300.

What is Michael Robertson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Michael Robertson enrolled in Medicare?

Yes. Michael Robertson 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 Michael Robertson accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, MercyCare Health Plans and Quartz list Michael Robertson 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 Michael Robertson affiliated with any hospitals?

According to CMS data, Michael Robertson is affiliated with Uw Health, Saint Anthony Medical Center, Northwestern Medicine Kishwaukee Hospital, Rochelle Community Hospital and Beloit Health System.

When was this NPI record last updated?

The NPPES record for Michael Robertson was last updated on April 22, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.