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MARIA DOLORES ROBERTS M.D.
NPI 1104262062
Family Medicine in Mandeville, LA

Active since May 20, 2013PECOS EnrolledAccepts Medicare Assignment
201 SAINT ANN DR STE B, MANDEVILLE, LA 70471(985) 898-4001(985) 626-9618 Get Directions Write a Review

NPPES record last updated: January 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 30, 2019, Jun 22, 2018, Aug 15, 2016 and 1 more (4 updates tracked since 2015).

About Maria Dolores Roberts M.d. NPPES

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

MARIA DOLORES ROBERTS M.D. (NPI 1104262062) is an individual family medicine provider in Mandeville, Louisiana, licensed in Louisiana (308242) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and maintains a secondary practice location in Covington.

NPPES Registry Identity

NPI1104262062
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARIA DOLORES ROBERTSCredential: M.D.
Location Address201 SAINT ANN DR STE BMandeville, LA 70471
Mailing Address201 Saint Ann Dr Ste BMandeville, LA 70471-3472 · (985) 898-4001 · Fax (985) 626-9618
Phone(985) 898-4001
Fax(985) 626-9618
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 20, 2013
Last NPPES UpdateJanuary 30, 20194 updates tracked since enumeration
✔ NPI 1104262062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in LA · 308242✔ Licensed in TN · MD53849
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.
201 SAINT ANN DR STE B, Mandeville, LA 70471
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Other Names 1

Former Name (1)Maria Dolores Abascal-ponciano M.d.

Secondary Practice Location 1

Location 1806 S Tyler StCovington, LA 70433 · Phone (985) 246-5670 · Fax (985) 246-5667

Other Identifiers 1

MedicaidQ022043TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, UnitedHealthcare.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

Maria Dolores 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 ID8921399551
PECOS Enrollment IDI20180530002290
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.
157 services86 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
64 services64 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.
30 services26 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.
29 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

St Tammany Parish Hospital

Acute Care Hospitals · Covington, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190045
Location1202 S Tyler StreetCovington, LA 70433 · St. Tammany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70471 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Other Providers at the Same Location NPPES 7

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

KELSEY ANNE ST. ARNAUD FNP
Nurse Practitioner (Family)
201 SAINT ANN DR STE B
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-1717
MARISSA MOORE MD
Family Medicine
201 SAINT ANN DR STE B
MANDEVILLE, LA 70471
St. Tammany Parish (985) 898-4001
GABRIELLE GIVENS
Family Medicine
201 SAINT ANN DR STE B
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-1717
DR. CHRISTOPHER RICHARD D.O.
Family Medicine
201 SAINT ANN DR STE B
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-1717
LAURA READ NP
Nurse Practitioner
201 SAINT ANN DR STE B
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-1717
DR. CHRISTINE W THURSTON D. O
Internal Medicine
201 SAINT ANN DR STE B
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-1717
SHANNON HAAS M.D.
Family Medicine
201 SAINT ANN DR STE B
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-1717

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 Maria Roberts's NPI number?

The NPI number for Maria Roberts is 1104262062. It was assigned to this individual provider in the NPPES registry on May 20, 2013. The provider is also known as Maria Dolores Abascal-Ponciano M.D..

Where is Maria Roberts located?

Maria Roberts practices at 201 Saint Ann Dr Ste B, Mandeville, LA 70471. The listed phone number is (985) 898-4001.

What is Maria Roberts's specialty?

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

Is Maria Roberts enrolled in Medicare?

Yes. Maria 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 Maria Roberts accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Maria 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 Maria Roberts affiliated with any hospitals?

According to CMS data, Maria Roberts is affiliated with Ochsner Medical Center Acute and St Tammany Parish Hospital.

When was this NPI record last updated?

The NPPES record for Maria Roberts was last updated on January 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.