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DR. PETER CONRAD ROBLEJO M.D.
NPI 1194772095
Psychiatry & Neurology - Neurology in Edison, NJ

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
84.01/100
CMS Quality Rating

NPPES record last updated: April 10, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Peter Conrad Roblejo M.d. NPPES

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

DR. PETER CONRAD ROBLEJO M.D. (NPI 1194772095) is an individual neurology provider in Edison, New Jersey, licensed in New Jersey (25MA07074500) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (1998).

NPPES Registry Identity

NPI1194772095
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. PETER CONRAD ROBLEJOCredential: M.D.
Location Address225 MAY STEdison, NJ 08837-3266
Mailing Address68 Mountain AveWarren, NJ 07059-5320
Phone(723) 738-8830
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1998
Enumeration DateMay 27, 2006
Last NPPES UpdateApril 10, 2012
✔ NPI 1194772095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NJ · 25MA07074500
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
225 MAY ST, Edison, NJ 08837
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Peter Conrad Roblejo 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 ID3375558547
PECOS Enrollment IDI20060605000214
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 Reassignment

Medicare enrollment records show Peter Roblejo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optum Medical Care Of New Jersey PC
37 mi
Pediatrics
1 DAKOTA DR
New Hyde Park, NY 11042
  • Reassigned Medicare billing, New Jersey enrollment
  • 417 clinicians in this Medicare group
NPI 1578665048 (516) 627-1811

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 6

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.
177 services95 patients
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.
51 services51 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 services20 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
17 services14 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
11 services11 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08837 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

84.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.67
Promoting Interoperability98
Improvement Activities40
Cost76.48

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
9%292 patients1/55-star benchmark: 87%
Dementia: Cognitive Assessment
0%47 patients
Falls: Screening for Future Fall Risk
20%319 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
33%918 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
33%826 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 15% · 614 patients
15%614 patients
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.

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.

DR. MALVIN S KELLER M.D.
Internal Medicine (Cardiovascular Disease)
225 MAY ST, SUITE F
EDISON, NJ 08837
Middlesex County (732) 738-8855
DR. LINDA MARIE NERI MD
Surgery
225 MAY ST, SUITE B
EDISON, NJ 08837
Middlesex County (732) 738-9292
MRS. BHAVANA REBBA M.D.
Internal Medicine
225 MAY ST, SUITE F
EDISON, NJ 08837
Middlesex County (732) 738-6232
MRS. VALSAMMA JOSEPH ANP-C
Nurse Practitioner (Adult Health)
225 MAY ST, SUITE F
EDISON, NJ 08837
Middlesex County (732) 738-8855
ANANGUR P SWAMINATHAN MD
Surgery
225 MAY ST, SUITE A
EDISON, NJ 08837
Middlesex County (732) 346-5400
MALGORZATA KUZA
Clinic/Center (Primary Care)
225 MAY ST, SUITE B
EDISON, NJ 08837
Middlesex County (732) 738-8837
DR. MARVIN A RUBINSTEIN M.D.
Internal Medicine (Cardiovascular Disease)
225 MAY ST, SUITE F
EDISON, NJ 08837
Middlesex County (732) 738-8855
COMPREHENSIVE SURGICAL ASSOCIATES PA
Surgery
225 MAY ST, SUITE A
EDISON, NJ 08837
Middlesex County (732) 346-5400

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 Peter Roblejo's NPI number?

The NPI number for Peter Roblejo is 1194772095. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Peter Roblejo located?

Peter Roblejo practices at 225 May St, Edison, NJ 08837. The listed phone number is (723) 738-8830.

What is Peter Roblejo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Peter Roblejo enrolled in Medicare?

Yes. Peter Roblejo 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.

Which organization bills Medicare for Peter Roblejo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Roblejo reassigns Medicare benefits to Optum Medical Care Of New Jersey PC (New Hyde Park, NY). 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 Peter Roblejo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Roblejo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Peter Roblejo 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 Peter Roblejo was last updated on April 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.