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DR. CLINTON LAWRENCE ROBERTS DDS
NPI 1295837508
Dentist - General Practice in Pillager, MN

Active since September 05, 2006Opted out of Medicare · through Nov 14, 2027
727 BUCKSKIN AVE WEST, PILLAGER, MN 56473(218) 746-4555(218) 746-4558 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. Clinton Lawrence Roberts Dds NPPES

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

DR. CLINTON LAWRENCE ROBERTS DDS (NPI 1295837508) is an individual general practice provider in Pillager, Minnesota, licensed in Minnesota (D10518) and active in the NPI registry since September 2006. He has opted out of Medicare through November 14, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1295837508
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CLINTON LAWRENCE ROBERTSCredential: DDS
Location Address727 BUCKSKIN AVE WESTPillager, MN 56473
Mailing Address13942 Grand Oaks Ct.Baxter, MN 56425 · (218) 746-4555 · Fax (218) 746-4558
Phone(218) 746-4555
Fax(218) 746-4558
Sole ProprietorNo
Enumeration DateSeptember 5, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1295837508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · D10518
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.
727 BUCKSKIN AVE WEST, Pillager, MN 56473
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Clinton Lawrence Roberts Dds 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 November 14, 2013 through November 14, 2027.

Opt-Out Effective DateNovember 14, 2013
Opt-Out In Effect ThroughNovember 14, 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 56473 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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 Clinton Roberts's NPI number?

The NPI number for Clinton Roberts is 1295837508. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Where is Clinton Roberts located?

Clinton Roberts practices at 727 Buckskin Ave West, Pillager, MN 56473. The listed phone number is (218) 746-4555.

What is Clinton Roberts's specialty?

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

Is Clinton Roberts enrolled in Medicare?

No. Clinton Roberts has opted out of Medicare through November 14, 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.

What insurance does Clinton Roberts accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Clinton 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 Clinton 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.