DR. RYAN J ROBERTS D.O.
NPI 1093982910
Emergency Medicine in Grand Blanc, MI
About Dr. Ryan J Roberts D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RYAN J ROBERTS D.O. (NPI 1093982910) is an individual emergency medicine provider in Grand Blanc, Michigan, licensed in Michigan (5101017160) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Ryan J Roberts D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ryan Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Twin Falls, ID 83301
- Reassigned Medicare billing, Idaho enrollment
- Medicare enrollment name: St Lukes Clinic LLC
- 322 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 48439 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.
GRAND BLANC, MI 48439
GRAND BLANC, MI 48439
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 Ryan Roberts's NPI number?
The NPI number for Ryan Roberts is 1093982910. It was assigned to this individual provider in the NPPES registry on May 9, 2008.
Where is Ryan Roberts located?
Ryan Roberts practices at 1 Genesys Pkwy, Grand Blanc, MI 48439. The listed phone number is (810) 606-5000.
What is Ryan Roberts's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Ryan Roberts enrolled in Medicare?
Yes. Ryan Roberts is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ryan Roberts's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Roberts reassigns Medicare benefits to St Luke's Clinic LLC (Twin Falls, ID). 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 Ryan Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ryan Roberts accept?
Health plans from Moda Health Plan, Inc. list Ryan 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.
When was this NPI record last updated?
The NPPES record for Ryan Roberts was last updated on September 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Ryan J Roberts, D.O. · NPI 1093982910
Emergency Medicine physician in Grand Blanc, Michigan. Individual provider, active in the CMS NPPES registry since May 9, 2008.
## Identity
- **NPI:** 1093982910 (Entity type: Individual)
- **Enumerated:** May 9, 2008
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 5101017160 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 GENESYS PKWY, Grand Blanc, MI 48439-8065
- **Phone:** (810) 606-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St Luke's Clinic LLC (NPI 1790718229, Twin Falls, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1093982910) · Data from the CMS NPPES public registry.