DR. JOHN MICHAEL ROBERTS M.D.
NPI 1154748077
Plastic Surgery in Hershey, PA

Active since March 28, 2014PECOS EnrolledAccepts Medicare Assignment
71.78/100
CMS Quality Rating
500 UNIVERSITY DR, HERSHEY, PA 17033(717) 531-8952(717) 531-4339 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Michael Roberts M.d. NPPES

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

DR. JOHN MICHAEL ROBERTS M.D. (NPI 1154748077) is an individual plastic surgery provider in Hershey, Pennsylvania, licensed in Pennsylvania (MD461109) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Milton S Hershey Medical Center, and is a graduate of Pennsylvania State University College Of Medicine (2014).

NPPES Registry Identity

NPI1154748077
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. JOHN MICHAEL ROBERTSCredential: M.D.
Location Address500 UNIVERSITY DRHershey, PA 17033-2360
Mailing Address500 University Dr Mc Ca410Hershey, PA 17033-2360 · (717) 531-5208 · Fax (717) 531-0119
Fax(717) 531-4339
Sole ProprietorYes
Medical School CMSPennsylvania State University College Of MedicineGraduated 2014
Enumeration DateMarch 28, 2014
Last NPPES UpdateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
NPI 1154748077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in PA · MD461109
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License MD461109 (PA)
500 UNIVERSITY DR, Hershey, PA 17033

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

Dr. John Michael 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 ID4385867043
PECOS Enrollment IDI20211025003254
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 3

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.

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.
24 services24 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.
23 services17 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.
16 services14 patients

Hospital Affiliations CMS Care Compare

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

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17033 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

71.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.32
Promoting Interoperability100
Improvement Activities40
Cost57.63

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.

Physician Assistant
500 UNIVERSITY DR
HERSHEY, PA 17033
Internal Medicine
500 UNIVERSITY DR, H088
HERSHEY, PA 17033
Otolaryngology
500 UNIVERSITY DR
HERSHEY, PA 17033
Surgery (Trauma Surgery)
500 UNIVERSITY DR
HERSHEY, PA 17033
Anesthesiology (Critical Care Medicine)
500 UNIVERSITY DR, BOX 3951, DAVISON BLDG, TRENT DRIVE
HERSHEY, PA 17033
Pathology (Clinical Pathology/Laboratory Medicine)
500 UNIVERSITY DR, HERSHEY MEDICAL CENTER
HERSHEY, PA 17033
Family Medicine
500 UNIVERSITY DR
HERSHEY, PA 17033
Pediatrics (Pediatric Endocrinology)
500 UNIVERSITY DR
HERSHEY, PA 17033

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 John Roberts's NPI number?

The NPI number for John Roberts is 1154748077. It was assigned to this individual provider in the NPPES registry on March 28, 2014.

Where is John Roberts located?

John Roberts practices at 500 University Dr, Hershey, PA 17033. The listed phone number is (717) 531-8952.

What is John Roberts's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is John Roberts enrolled in Medicare?

Yes. John 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.

Is John Roberts affiliated with any hospitals?

According to CMS data, John Roberts is affiliated with Milton S Hershey Medical Center.

When was this NPI record last updated?

The NPPES record for John Roberts was last updated on March 27, 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.