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DR. JOHN RANDALL ROBERTS D.D.S.
NPI 1285799395
Dentist - General Practice in Connersville, IN

Active since December 27, 2006Opted out of Medicare · through Dec 31, 2027
724 N GRAND AVE, CONNERSVILLE, IN 47331(765) 825-2051(765) 825-2091 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Randall Roberts D.d.s. NPPES

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

DR. JOHN RANDALL ROBERTS D.D.S. (NPI 1285799395) is an individual general practice provider in Connersville, Indiana, licensed in Indiana (12008137) and active in the NPI registry since December 2006. He has opted out of Medicare through December 31, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1285799395
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN RANDALL ROBERTSCredential: D.D.S.
Location Address724 N GRAND AVEConnersville, IN 47331-2015
Mailing Address724 N Grand AveConnersville, IN 47331-2015 · (765) 825-2051 · Fax (765) 825-2091
Phone(765) 825-2051
Fax(765) 825-2091
Sole ProprietorYes
Enumeration DateDecember 27, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1285799395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12008137
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
724 N GRAND AVE, Connersville, IN 47331
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. John Randall Roberts D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 31, 2015 through December 31, 2027.

Opt-Out Effective DateDecember 31, 2015
Opt-Out In Effect ThroughDecember 31, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47331 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES

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

EASTERN INDIANA PEDIATRIC DENTISTRY, LLC
Dentist (Pediatric Dentistry)
724 N GRAND AVE
CONNERSVILLE, IN 47331
Fayette County (765) 825-2051

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 John Roberts's NPI number?

The NPI number for John Roberts is 1285799395. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is John Roberts located?

John Roberts practices at 724 N Grand Ave, Connersville, IN 47331. The listed phone number is (765) 825-2051.

What is John Roberts's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is John Roberts enrolled in Medicare?

No. John Roberts has opted out of Medicare through December 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Roberts was last updated on July 9, 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.