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RODNEY SHANE ROBERTS MD
NPI 1306847785
Family Medicine in Decatur, TN

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
398 N MAIN ST, DECATUR, TN 37322(423) 334-2222(423) 334-2255 Get Directions Write a Review

NPPES record last updated: August 17, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rodney Shane Roberts Md NPPES

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

RODNEY SHANE ROBERTS MD (NPI 1306847785) is an individual family medicine provider in Decatur, Tennessee, licensed in Tennessee (024022) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Starr Regional Medical Center Athens, and is a graduate of East Tennessee State University Quillen College Of Medicine (1991).

NPPES Registry Identity

NPI1306847785
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRODNEY SHANE ROBERTSCredential: MD
Location Address398 N MAIN STDecatur, TN 37322-7759
Mailing AddressPo Box 709Decatur, TN 37322-0709 · (423) 334-2222 · Fax (423) 334-2255
Phone(423) 334-2222
Fax(423) 334-2255
Sole ProprietorYes
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 1991
Enumeration DateAugust 9, 2005
Last NPPES UpdateAugust 17, 2012
✔ NPI 1306847785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 024022
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.
398 N MAIN ST, Decatur, TN 37322
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Other Names 1

Other Name (5)R Shane Roberts M D

Other Identifiers 6

Medicare ID-Type Unspecified3718733TN
Other621607679TN · Ein
Other0443935TN · Medicaid
Other443935TN · Riverbend - Rural Health
Medicare UPINF45824TN
Medicaid03718733TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rodney Shane 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 ID345151163
PECOS Enrollment IDI20050304000217
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 Reassignment

Medicare enrollment records show Rodney Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

R. Shane Roberts, M.D., Inc.
Same address
Family Medicine
398 N MAIN ST
Decatur, TN 37322
  • Reassigned Medicare billing, Tennessee enrollment
  • 2 clinicians in this Medicare group
NPI 1740936178 (423) 334-2222

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 11

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.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
183 services183 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
128 services97 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
121 services120 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
117 services115 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
111 services107 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
70 services33 patients

Hospital Affiliations CMS Care Compare 4

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

Starr Regional Medical Center Athens

Acute Care Hospitals · Athens, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440068
Location1114 W Madison AveAthens, TN 37371 · Mc Minn County
Emergency services Birthing friendly

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440091
Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440173
Location9352 Park West BlvdKnoxville, TN 37923 · Knox County
Emergency services Birthing friendly

Rhea Medical Center

Critical Access Hospitals · Dayton, TN
OwnershipGovernment - Local
CMS Certification Number441310
Location9400 Rhea County HighwayDayton, TN 37321 · Rhea County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37322 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 17

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
9 suppliers35 claims110 services$5.69 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims17 services$0.86 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers12 claims12 services$46.24 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers22 claims22 services$110.38 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers19 claims50 services$40.00 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers13 claims13 services$68.67 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 3

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

TONIA MICHELLE SCHUMAN FNP-C
Nurse Practitioner (Family)
398 N MAIN ST
DECATUR, TN 37322
Meigs County (423) 334-2222
R. SHANE ROBERTS, M.D., INC.
Family Medicine
398 N MAIN ST
DECATUR, TN 37322
Meigs County (423) 334-2222
R. SHANE ROBERTS, M.D., INC.
Family Medicine
398 N MAIN ST
DECATUR, TN 37322
Meigs County (423) 334-2222

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 Rodney Roberts's NPI number?

The NPI number for Rodney Roberts is 1306847785. It was assigned to this individual provider in the NPPES registry on August 9, 2005. The provider is also known as R Shane Roberts M D.

Where is Rodney Roberts located?

Rodney Roberts practices at 398 N Main St, Decatur, TN 37322. The listed phone number is (423) 334-2222.

What is Rodney Roberts's specialty?

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

Is Rodney Roberts enrolled in Medicare?

Yes. Rodney 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.

Which organization bills Medicare for Rodney Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rodney Roberts reassigns Medicare benefits to R. Shane Roberts, M.D., Inc. (Decatur, TN). The 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 Rodney Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rodney Roberts accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Rodney 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 Rodney Roberts affiliated with any hospitals?

According to CMS data, Rodney Roberts is affiliated with Starr Regional Medical Center Athens, Memorial Healthcare System, Inc, Parkwest Medical Center and Rhea Medical Center.

When was this NPI record last updated?

The NPPES record for Rodney Roberts was last updated on August 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.