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MADELEINE ROBERTS PA-C
NPI 1215380100
Physician Assistant in Cincinnati, OH

Active since July 15, 2016PECOS EnrolledAccepts Medicare Assignment
85.49/100
CMS Quality Rating
4900 BABSON PL STE 600, CINCINNATI, OH 45227(513) 272-8444(513) 272-0015 Get Directions Write a Review

NPPES record last updated: December 28, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 28, 2022, Aug 30, 2018, Nov 2, 2016 and 1 more (4 updates tracked since 2016).

About Madeleine Roberts Pa-c NPPES

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

MADELEINE ROBERTS PA-C (NPI 1215380100) is an individual physician assistant in Cincinnati, Ohio, licensed in Ohio (50.005792) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Christ Hospital, and is a graduate of University Of Kentucky College Of Medicine (2016).

NPPES Registry Identity

NPI1215380100
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMADELEINE ROBERTSCredential: PA-C
Location Address4900 BABSON PL STE 600Cincinnati, OH 45227-2693
Mailing Address4900 Babson Pl Ste 600Cincinnati, OH 45227-2693 · (513) 272-8444 · Fax (513) 272-0015
Phone(513) 272-8444
Fax(513) 272-0015
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2016
Enumeration DateJuly 15, 2016
Last NPPES UpdateDecember 28, 20224 updates tracked since enumeration
NPPES CertifiedDecember 28, 2022
✔ NPI 1215380100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50.005792
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4900 BABSON PL STE 600, Cincinnati, OH 45227
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Other Names 1

Former Name (1)Madeleine Lansberry Pa-c

Other Identifiers 2

Medicaid7100444600KY
Medicaid0188302OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Madeleine Roberts Pa-c 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 ID1850670670
PECOS Enrollment IDI20200316001393
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 4

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 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.
145 services93 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
141 services80 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
33 services33 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45227 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

85.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.06
Promoting Interoperability100
Improvement Activities40
Cost60.59

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
19%21 patients1/55-star benchmark: 100%
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 2

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

SAYDANEE RAE JORDAN LSW
Social Worker
4900 BABSON PL STE 600
CINCINNATI, OH 45227
Hamilton County (513) 272-8444
SHARON LYNN CRAIG
Nurse Practitioner (Adult Health)
4900 BABSON PL STE 600
CINCINNATI, OH 45227
Hamilton County (513) 272-8444

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 Madeleine Roberts's NPI number?

The NPI number for Madeleine Roberts is 1215380100. It was assigned to this individual provider in the NPPES registry on July 15, 2016. The provider is also known as Madeleine Lansberry Pa-C.

Where is Madeleine Roberts located?

Madeleine Roberts practices at 4900 Babson Pl Ste 600, Cincinnati, OH 45227. The listed phone number is (513) 272-8444.

What is Madeleine Roberts's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Madeleine Roberts enrolled in Medicare?

Yes. Madeleine 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.

What insurance does Madeleine Roberts accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual list Madeleine 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 Madeleine Roberts affiliated with any hospitals?

According to CMS data, Madeleine Roberts is affiliated with Christ Hospital.

When was this NPI record last updated?

The NPPES record for Madeleine Roberts was last updated on December 28, 2022. 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.