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DR. ANDREW L ROBERTS D.O.
NPI 1164521977
Family Medicine in Basin, WY

Active since September 21, 2006PECOS Enrolled
388 US HIGHWAY 20 S, BASIN, WY 82410(307) 568-3311(307) 568-2139 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, Feb 29, 2016 (2 updates tracked since 2016).

About Dr. Andrew L Roberts D.o. NPPES

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

DR. ANDREW L ROBERTS D.O. (NPI 1164521977) is an individual family medicine provider in Basin, Wyoming, licensed in Wyoming (7406A) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with St Vincent Healthcare, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2002).

NPPES Registry Identity

NPI1164521977
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANDREW L ROBERTSCredential: D.O.
Location Address388 US HIGHWAY 20 SBasin, WY 82410-8902
Mailing Address388 Us Highway 20 SBasin, WY 82410-8902 · (307) 568-3311 · Fax (307) 568-2139
Phone(307) 568-3311
Fax(307) 568-2139
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2002
Enumeration DateSeptember 21, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1164521977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WY · 7406A
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.
388 US HIGHWAY 20 S, Basin, WY 82410
Open in Google Maps ↗

Other Identifiers 1

Other7406AWY · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross Blue Shield of North Dakota, Providence Health Plan and more.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. Andrew L Roberts D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325144801
PECOS Enrollment IDI20151111001909
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Andrew Roberts reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sidney Health Center
293 mi
Emergency Care
216 14TH AVE SW
Sidney, MT 59270
  • Reassigned Medicare billing, Montana enrollment
  • Also billed through NPI 1467537373 (Montana)
  • 149 clinicians in this Medicare group
NPI 1568532802 (406) 488-2100
Rural Physicians Group-Pannu PLLC
370 mi
Hospitalist
5575 DTC PKWY STE 225
Greenwood Village, CO 80111
  • Reassigned Medicare billing, Wyoming enrollment
  • 44 clinicians in this Medicare group
NPI 1891236584 (303) 390-1924

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 7

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
204 services94 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.
177 services79 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
93 services85 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
83 services69 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
52 services26 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
23 services16 patients

Hospital Affiliations CMS Care Compare 2

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

St Vincent Healthcare

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number270049
Location1233 N 30th StBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Sidney Health Center

Critical Access Hospitals · Sidney, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number271344
Location216 14th Ave SWSidney, MT 59270 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82410 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
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 5

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

MARY FREUND NP
Nurse Practitioner
388 US HIGHWAY 20 S
BASIN, WY 82410
Big Horn County (307) 568-3311
SOUTH BIG HORN COUNTY HOSPITAL DISTRICT
Medicare Defined Swing Bed Unit
388 US HIGHWAY 20 S
BASIN, WY 82410
Big Horn County (307) 568-3311
JESI SKRETTEBERG RN
Registered Nurse
388 US HIGHWAY 20 S
BASIN, WY 82410
Big Horn County (307) 399-0322
GUARDIAN FLIGHT LLC
Ambulance (Air Transport)
388 US HIGHWAY 20 S
BASIN, WY 82410
Big Horn County (801) 619-4900
ENRIKA RAIN JOY POTTER FNP
Nurse Practitioner (Family)
388 US HIGHWAY 20 S
BASIN, WY 82410
Big Horn County (307) 568-3311

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 Andrew Roberts's NPI number?

The NPI number for Andrew Roberts is 1164521977. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Andrew Roberts located?

Andrew Roberts practices at 388 Us Highway 20 S, Basin, WY 82410. The listed phone number is (307) 568-3311.

What is Andrew Roberts's specialty?

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

Is Andrew Roberts enrolled in Medicare?

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

Which organizations bill Medicare for Andrew Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Roberts reassigns Medicare benefits to 2 organizations: Sidney Health Center (Sidney, MT) and Rural Physicians Group-Pannu PLLC (Greenwood Village, CO). Each 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 Andrew Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Roberts accept?

Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Montana, Providence Health Plan and Sanford Health Plan list Andrew 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 Andrew Roberts affiliated with any hospitals?

According to CMS data, Andrew Roberts is affiliated with St Vincent Healthcare and Sidney Health Center.

When was this NPI record last updated?

The NPPES record for Andrew Roberts was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.