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DR. WILLIAM JERRY ROBERTSON MD
NPI 1346202579
Obstetrics & Gynecology in Texarkana, TX

Active since April 04, 2006PECOS Enrolled
2604 ST MICHAEL DR, STE 410, TEXARKANA, TX 75503(903) 614-5430(903) 614-5464 Get Directions Write a Review

NPPES record last updated: January 2, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. William Jerry Robertson Md NPPES

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

DR. WILLIAM JERRY ROBERTSON MD (NPI 1346202579) is an individual obstetrics & gynecology provider in Texarkana, Texas, licensed in Texas (G0817) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346202579
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. WILLIAM JERRY ROBERTSONCredential: MD
Location Address2604 ST MICHAEL DR, STE 410Texarkana, TX 75503-2378
Mailing Address919 Hidden Rdg, 6th FloorIrving, TX 75038-3813 · (469) 282-2711 · Fax (469) 282-0996
Phone(903) 614-5430
Fax(903) 614-5464
Sole ProprietorNo
Enumeration DateApril 4, 2006
Last NPPES UpdateJanuary 2, 2017
✔ NPI 1346202579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in TX · G0817✔ Licensed in AR · C5231
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2604 ST MICHAEL DR, Texarkana, TX 75503
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Other Identifiers 6

Medicaid124648002TX
Medicare PIN339663YMJMTX
Medicaid103412001AR
Medicaid124648005TX
Medicare UPIND08984
Other54444AR · Bcbs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. William Jerry Robertson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show William Robertson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Christus Trinity Clinic Texas
105 mi
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
NPI 1285684225 (903) 315-4119
C H Wilkinson Physician Network
172 mi
Family Medicine
919 HIDDEN RDG, 6TH FLOOR
Irving, TX 75038
  • Reassigned Medicare billing, Texas enrollment
  • 179 clinicians in this Medicare group
NPI 1457382947 (469) 282-2711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75503 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

TEXARKANA WOMEN'S CLINIC PA
Obstetrics & Gynecology
2604 ST MICHAEL DR, SUITE 410
TEXARKANA, TX 75503
Bowie County (903) 614-5430

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 William Robertson's NPI number?

The NPI number for William Robertson is 1346202579. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is William Robertson located?

William Robertson practices at 2604 St Michael Dr Ste 410, Texarkana, TX 75503. The listed phone number is (903) 614-5430.

What is William Robertson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is William Robertson enrolled in Medicare?

Yes. William Robertson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for William Robertson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Robertson reassigns Medicare benefits to 2 organizations: Christus Trinity Clinic Texas (Tyler, TX) and C H Wilkinson Physician Network (Irving, TX). Each 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 William Robertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for William Robertson was last updated on January 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.