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KENNETH C ROBERTS DO
NPI 1194890848
Internal Medicine in Biloxy, MS

Active since November 21, 2006PECOS EnrolledAccepts Medicare Assignment
400 VETERANS, BILOXY, MS 39531(228) 523-4555 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kenneth C Roberts Do NPPES

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

KENNETH C ROBERTS DO (NPI 1194890848) is an individual internal medicine provider in Biloxy, Mississippi, licensed in Mississippi (18538) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Midwest, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (1990).

NPPES Registry Identity

NPI1194890848
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKENNETH C ROBERTSCredential: DO
Location Address400 VETERANSBiloxy, MS 39531
Mailing AddressPo Box 850299Yukon, OK 73085-0299 · (985) 966-3757
Phone(228) 523-4555
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 1990
Enumeration DateNovember 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1194890848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MS · 18538✔ Licensed in LA · 021531✔ Licensed in OK · 2974
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
400 VETERANS, Biloxy, MS 39531
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Other Identifiers 2

Medicare UPINF83536
Medicare ID-Type UnspecifiedSU433LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan 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 and accepts Medicare assignment

Kenneth C Roberts Do 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 ID8820046949
PECOS Enrollment IDI20210212001415
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

5

Medicare enrollment records show Kenneth Roberts reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Metro Healthcare Services LLC
608 mi
Specialist
1111 N LEE AVE STE 305
Oklahoma City, OK 73103
  • Reassigned Medicare billing, Oklahoma enrollment
  • 64 clinicians in this Medicare group
NPI 1194558304 (405) 272-4978
Metro Physicians LLC
608 mi
Hospitalist
1111 N LEE AVE STE 305
Oklahoma City, OK 73103
  • Reassigned Medicare billing, Oklahoma enrollment
  • 89 clinicians in this Medicare group
NPI 1588374797 (405) 272-4978
Spectrum Healthcare Solutions, PLLC
610 mi
Geriatric Medicine
4220 N CLASSEN BLVD STE A
Oklahoma City, OK 73118
  • Reassigned Medicare billing, Oklahoma enrollment
  • 61 clinicians in this Medicare group
NPI 1558816850 (405) 769-5749
Midwest Hospitalist Group PLLC
611 mi
Internal Medicine
1501 E 19TH ST
Edmond, OK 73013
  • Reassigned Medicare billing, Oklahoma enrollment
  • 75 clinicians in this Medicare group
NPI 1376011478 (405) 367-6180
Optimum Care Hospitalist Group PLLC
611 mi
Internal Medicine
1501 E 19TH ST
Edmond, OK 73013
  • Reassigned Medicare billing, Oklahoma enrollment
  • 72 clinicians in this Medicare group
NPI 1306396577 (405) 367-6180

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 9

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 moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
542 services221 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
152 services148 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.
103 services46 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
80 services75 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.
78 services51 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
67 services37 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health St Anthony Hospital - Midwest

Acute Care Hospitals · Midwest City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370094
Location2825 Parklawn DriveMidwest City, OK 73110 · Oklahoma County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39531 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers26 claims27 services$15.43 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers27 claims28 services$69.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kenneth Roberts's NPI number?

The NPI number for Kenneth Roberts is 1194890848. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Kenneth Roberts located?

Kenneth Roberts practices at 400 Veterans, Biloxy, MS 39531. The listed phone number is (228) 523-4555.

What is Kenneth Roberts's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kenneth Roberts enrolled in Medicare?

Yes. Kenneth 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.

Which organizations bill Medicare for Kenneth Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Roberts reassigns Medicare benefits to 5 organizations: Metro Healthcare Services LLC (Oklahoma City, OK), Metro Physicians LLC (Oklahoma City, OK), Spectrum Healthcare Solutions, PLLC (Oklahoma City, OK), Midwest Hospitalist Group PLLC (Edmond, OK) and Optimum Care Hospitalist Group PLLC (Edmond, OK). 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 Kenneth Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Roberts accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Kenneth 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 Kenneth Roberts affiliated with any hospitals?

According to CMS data, Kenneth Roberts is affiliated with Ssm Health St Anthony Hospital - Midwest.

When was this NPI record last updated?

The NPPES record for Kenneth Roberts was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.