EDWARD SAMUEL ROBERTO
NPI 1356736268
Internal Medicine in Dayton, OH

Active since March 30, 2015PECOS Enrolled
90.54/100
CMS Quality Rating
128 E APPLE ST, 2ND FLOOR, DAYTON, OH 45409(937) 208-2004(937) 208-8828 Get Directions Write a Review

NPPES record last updated: April 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Edward Samuel Roberto NPPES

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

EDWARD SAMUEL ROBERTO (NPI 1356736268) is an individual internal medicine provider in Dayton, Ohio, licensed in Ohio (35.129798) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356736268
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameEDWARD SAMUEL ROBERTO
Location Address128 E APPLE ST, 2ND FLOORDayton, OH 45409-2902
Mailing Address30 E Apple St, Ste 3300Dayton, OH 45409-2939 · (937) 208-8394
Fax(937) 208-8828
Sole ProprietorNo
Enumeration DateMarch 30, 2015
Last NPPES UpdateApril 16, 2020
NPPES CertifiedApril 16, 2020
✔ NPI 1356736268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.129798
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
128 E APPLE ST, Dayton, OH 45409

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward Samuel Roberto 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

4

Medicare enrollment records show Edward Roberto reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
1 WYOMING ST
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 270 clinicians in this Medicare group
0.3 mi
Hospitalist
1 WYOMING ST, STE SE 3100B
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
Family Medicine
3130 N COUNTY ROAD 25A
Troy, OH 45373
  • Reassigned Medicare billing, Ohio enrollment
  • 405 clinicians in this Medicare group
Hospitalist
1 MEDICAL CENTER DR
Middletown, OH 45005
  • Reassigned Medicare billing, Ohio enrollment
  • 263 clinicians in this Medicare group

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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
137 services136 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

90.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Promoting Interoperability100
Improvement Activities40
Cost87.75

Other Providers at the Same Location NPPES 19

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

Student in an Organized Health Care Education/Training Program
128 E APPLE ST, 3800
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
128 E APPLE ST
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
128 E APPLE ST, SUITE 3800 WRIGHT STATE UNIVERSITY DEPT. OF OB/GYN
DAYTON, OH 45409
Surgery
128 E APPLE ST, WCHE 7TH FLOOR
DAYTON, OH 45409
Internal Medicine
128 E APPLE ST, 2ND FLOOR
DAYTON, OH 45409
Internal Medicine
128 E APPLE ST
DAYTON, OH 45409
Internal Medicine
128 E APPLE ST
DAYTON, OH 45409
Surgery
128 E APPLE ST
DAYTON, OH 45409

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 Edward Roberto's NPI number?

The NPI number for Edward Roberto is 1356736268. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is Edward Roberto located?

Edward Roberto practices at 128 E Apple St 2nd Floor, Dayton, OH 45409. The listed phone number is (937) 208-2004.

What is Edward Roberto's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Edward Roberto enrolled in Medicare?

Yes. Edward Roberto is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Edward Roberto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Roberto reassigns Medicare benefits to 4 organizations: Sinclair Physician Services, LLC (Dayton, OH), Mvhe Inc (Dayton, OH), Upper Valley Professional Corporation (Troy, OH) and Hisey Physician Services, LLC (Middletown, OH). 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 Edward Roberto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Roberto accept?

Health plans from CareSource list Edward Roberto 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 Edward Roberto was last updated on April 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.