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CAMILLE IVAH ROBERTS MD
NPI 1376519421
Dermatology in Winston Salem, NC

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
175 KIMEL PARK DR, WINSTON SALEM, NC 27103(336) 718-1006(336) 718-1099 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 30, 2025, May 29, 2025, Mar 18, 2025 and 2 more (5 updates tracked since 2024).

About Camille Ivah Roberts Md NPPES

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

CAMILLE IVAH ROBERTS MD (NPI 1376519421) is an individual dermatology provider in Winston Salem, North Carolina, licensed in Massachusetts (223309) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376519421
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameCAMILLE IVAH ROBERTSCredential: MD
Location Address175 KIMEL PARK DRWinston Salem, NC 27103-6951
Mailing Address405 Grove St, Suite 304Worcester, MA 01605-1270 · (508) 890-5500 · Fax (508) 890-5505
Phone(336) 718-1006
Fax(336) 718-1099
Sole ProprietorYes
Medical School CMSHoward University College Of MedicineGraduated 1999
Enumeration DateFebruary 28, 2006
Last NPPES UpdateJune 30, 20255 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1376519421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MA · 223309
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
175 KIMEL PARK DR, Winston Salem, NC 27103
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11027 Washington AveDetroit Lakes, MN 56501-3409 · Phone (218) 844-2347
Location 2405 Grove St, Suite 304Worcester, MA 01605-1270 · Phone (508) 890-5500 · Fax (508) 890-5505

Other Identifiers 18

Medicaid2101513MA
Other470259Tufts Health Plan
OtherJ28697Blue Cross Elect
Other042472266United Healthcare
Other042472266Three Rivers
Other87361Childrens Medical Securit
OtherJ28697Blue Shield Indemnity
Other2101513Medicaid Welfare
Other2283928First Health
Other92299Fallon Community Health
Other042472266Tricare Champus
OtherAA30837Harvard Pilgrim Healthcar
OtherJ28697Blue Shield Hmo Blue
Other1212746Cigna Health Plan
Other7668645Aetna Us Healthcare
Other042472266Private Healthcare System
Other87361Healthy Start
Other787925Mvp Health Care

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, Medica.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

Camille Ivah 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 ID5698731941
PECOS Enrollment IDI20250623001783
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 Camille Roberts reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Forsyth Memorial Hospital, Inc
Same address
Family Medicine
175 KIMEL PARK DR
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,202 clinicians in this Medicare group
NPI 1417271313 (336) 774-3740
Piedmont Plastic Surgery & Dermatology PA
71 mi
Dermatology
1072 X RAY DR STE B
Gastonia, NC 28054
  • Reassigned Medicare billing, North Carolina enrollment
  • 46 clinicians in this Medicare group
NPI 1801832837 (704) 671-1094

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 10

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
915 services180 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
591 services459 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
331 services253 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
330 services249 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
134 services127 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
122 services106 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Biopsy Follow-Up
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
100%363 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
3%5,260 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%1,143 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
11%1,760 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
35%4,030 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
16%1,277 patients1/55-star benchmark: 95%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
34%4,030 patients2/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
95%348 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 18

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

MR. ROGER LEE MCCAULEY MD
Psychiatry & Neurology (Psychiatry)
175 KIMEL PARK DR, STE 115
WINSTON-SALEM, NC 27103
Forsyth County (336) 768-6930
NOVANT MEDICAL GROUP, INC
Psychiatry & Neurology (Neurology)
175 KIMEL PARK DR, SUITE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 277-1800
DR. JESSICA CIPOLETTI DERREBERRY M.D.
Psychiatry & Neurology (Psychiatry)
175 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 277-1800
FORSYTH MEMORIAL HOSPITAL, INC.
Dermatology
175 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (704) 384-4000
BARBARA MICHELLE SAUNDERS MA, LPCA, NCC
Counselor (Mental Health)
175 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 718-3550
FORSYTH MEMORIAL HOSPITAL INC
Psychiatry & Neurology (Psychiatry)
175 KIMEL PARK DR, SUITE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 277-1800
SALEM PSYCHIATRIC ASSOC
Psychologist (Cognitive & Behavioral)
175 KIMEL PARK DR, SUITE 115
WINSTON SALEM, NC 27103
Forsyth County (336) 659-9440
FORSYTH MEMORIAL HOSPITAL, INC
Family Medicine
175 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 774-3740

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 Camille Roberts's NPI number?

The NPI number for Camille Roberts is 1376519421. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Camille Roberts located?

Camille Roberts practices at 175 Kimel Park Dr, Winston Salem, NC 27103. The listed phone number is (336) 718-1006.

What is Camille Roberts's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Camille Roberts enrolled in Medicare?

Yes. Camille 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 organizations bill Medicare for Camille Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Camille Roberts reassigns Medicare benefits to 2 organizations: Forsyth Memorial Hospital, Inc (Winston Salem, NC) and Piedmont Plastic Surgery & Dermatology PA (Gastonia, NC). 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 Camille Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Camille Roberts accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC and Medica list Camille 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 Camille Roberts affiliated with any hospitals?

According to CMS data, Camille Roberts is affiliated with Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for Camille Roberts was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.