DR. MARK A ROBERTS MD
NPI 1275565442
Family Medicine in Evergreen, AL

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
81.1/100
CMS Quality Rating
106 EDWINA STREET, EVERGREEN, AL 36401(251) 578-4300(251) 578-4307 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mark A Roberts Md NPPES

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

DR. MARK A ROBERTS MD (NPI 1275565442) is an individual family medicine provider in Evergreen, Alabama, licensed in Alabama (15010) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Castleberry, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1275565442
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK A ROBERTSCredential: MD
Location Address106 EDWINA STREETEvergreen, AL 36401
Mailing Address106 Edwina StreetEvergreen, AL 36401 · (251) 578-4300 · Fax (251) 578-4307
Fax(251) 578-4307
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJuly 7, 2006
Last NPPES UpdateJune 13, 2022
NPPES CertifiedJune 13, 2022
NPI 1275565442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AL · 15010
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.

Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X · License 15010 (AL)
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License PM.282 (AL)
106 EDWINA STREET, Evergreen, AL 36401

Secondary Practice Location 1

Location 111766 County Road 6Castleberry, AL 36432-5116 · Phone (251) 966-5210 · Fax (251) 220-5163

Other Identifiers 1

Medicaid051558849AL

Accepted 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

Dr. Mark A Roberts Md 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 ID8022117506
PECOS Enrollment IDI20070625000235
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 44

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.

Injection, testosterone cypionate, 1 mg J1071
Testosterone cypionate is a medication given via injection to help balance hormone levels in your body. It's typically used when your body doesn't produce enough of this hormone naturally. The 1 mg dose refers to the amount of medication in each injection.
17,150 services23 patients
Injection, triamcinolone acetonide, preservative free, 1 mg J3300
Triamcinolone acetonide is a medication given through injection to reduce inflammation in various parts of the body. It's a steroid that helps alleviate symptoms like swelling, redness, and pain. This specific injection is preservative-free.
3,248 services82 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
3,160 services272 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
2,649 services423 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
2,472 services319 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
953 services146 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36401 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

81.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality81.25
Improvement Activities40
Cost45.35

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
35%55 patients2/55-star benchmark: 100%
Controlling High Blood Pressure
55%820 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
35%358 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
93%9,175 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
95%1,704 patients4/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 85% · 1,282 patients
Patients screened: 89% · 1,282 patients
81%243 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 10% · 714 patients
Patients totalRate: 41% · 714 patients
42%714 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.

Referred Medical Equipment & Supplies CMS DME claims 32

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers93 claims272 services$6.61 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers21 claims21 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers29 claims60 services$1.22 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims594 services$0.37 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier19 claims36 services$61.45 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier18 claims108 services$25.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
106 EDWINA STREET
EVERGREEN, AL 36401

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 Mark Roberts's NPI number?

The NPI number for Mark Roberts is 1275565442. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Mark Roberts located?

Mark Roberts practices at 106 Edwina Street, Evergreen, AL 36401. The listed phone number is (251) 578-4300.

What is Mark Roberts's specialty?

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

Is Mark Roberts enrolled in Medicare?

Yes. Mark 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 Mark Roberts accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Mark 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.

When was this NPI record last updated?

The NPPES record for Mark Roberts was last updated on June 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.