DR. THERESA ELIZABETH ROBERTSON MD
NPI 1215019518
Surgery - Surgical Critical Care in Kansas City, MO

Active since October 19, 2006PECOS Enrolled
97.58/100
CMS Quality Rating
4320 WORNALL RD STE 530, KANSAS CITY, MO 64111(816) 932-7900(816) 932-9868 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 15, 2023, Dec 5, 2022, May 11, 2018 and 1 more (4 updates tracked since 2015).

About Dr. Theresa Elizabeth Robertson Md NPPES

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

DR. THERESA ELIZABETH ROBERTSON MD (NPI 1215019518) is an individual surgical critical care provider in Kansas City, Missouri, licensed in Missouri (2004031001) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tyler.

NPPES Registry Identity

NPI1215019518
Entity TypeIndividualFemale
Primary Taxonomy2086S0102X
Provider Legal NameDR. THERESA ELIZABETH ROBERTSONCredential: MD
Location Address4320 WORNALL RD STE 530Kansas City, MO 64111-5942
Mailing Address901 E 104th St # Ms 400sKansas City, MO 64131-4517 · (816) 502-8752
Fax(816) 932-9868
Sole ProprietorNo
Enumeration DateOctober 19, 2006
Last NPPES UpdateNovember 15, 20234 updates tracked since enumeration
NPPES CertifiedNovember 15, 2023
✔ NPI 1215019518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
Licenses✔ Licensed in MO · 2004031001✔ Licensed in OK · 39735✔ Licensed in TX · U6795
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgeryTaxonomy 208600000X · License 22642 (MS), U6795 (TX)
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License U6795 (TX)
4320 WORNALL RD STE 530, Kansas City, MO 64111

Secondary Practice Location 1

Location 1630 S Fleishel AveTyler, TX 75701-2041 · Phone (903) 606-5560

Other Identifiers 3

Medicaid08220715MS
Medicaid201078750AOK
Medicaid2407015LA

Accepted 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. Theresa Elizabeth Robertson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Theresa Robertson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
112 NORTH 5TH STREET
Barnsdall, OK 74002
  • Reassigned Medicare billing, Oklahoma enrollment
  • 820 clinicians in this Medicare group
Critical Access
6161 S YALE AVE
Tulsa, OK 74136
  • Reassigned Medicare billing, Oklahoma enrollment
  • 25 clinicians in this Medicare group
General Practice
6600 S YALE AVE, SUITE 1400
Tulsa, OK 74136
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,144 clinicians in this Medicare group
Family Medicine
3098 OAK GROVE RD
Poplar Bluff, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 89 clinicians in this Medicare group
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group

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 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.
73 services54 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.
49 services49 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.
23 services14 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
21 services21 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services16 patients
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.
16 services12 patients

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Acute Care)
4320 WORNALL RD STE 530
KANSAS CITY, MO 64111
Surgery
4320 WORNALL RD STE 530
KANSAS CITY, MO 64111
Surgery
4320 WORNALL RD STE 530
KANSAS CITY, MO 64111
Surgery (Trauma Surgery)
4320 WORNALL RD STE 530
KANSAS CITY, MO 64111
Nurse Practitioner (Family)
4320 WORNALL RD STE 530
KANSAS CITY, MO 64111
Surgery
4320 WORNALL RD STE 530
KANSAS CITY, MO 64111
Nurse Practitioner (Family)
4320 WORNALL RD STE 530
KANSAS CITY, MO 64111
Colon & Rectal Surgery
4320 WORNALL RD STE 530
KANSAS CITY, MO 64111

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 Theresa Robertson's NPI number?

The NPI number for Theresa Robertson is 1215019518. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Theresa Robertson located?

Theresa Robertson practices at 4320 Wornall Rd Ste 530, Kansas City, MO 64111. The listed phone number is (816) 932-7900.

What is Theresa Robertson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Theresa Robertson enrolled in Medicare?

Yes. Theresa Robertson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Theresa Robertson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Robertson reassigns Medicare benefits to 5 organizations: St. John Physicians, Inc (Barnsdall, OK), Care Communications LLC (Tulsa, OK), Warren Clinic Inc (Tulsa, OK), Poplar Bluff Hma Physician Management, LLC (Poplar Bluff, MO) and Christus Trinity Clinic Texas (Tyler, TX). 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 Theresa Robertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresa Robertson accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Theresa Robertson 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 Theresa Robertson was last updated on November 15, 2023. 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.