MARY ROBERTS PA-C
NPI 1447969787
Physician Assistant in Columbia, MO

Active since November 15, 2022PECOS EnrolledAccepts Medicare Assignment
105 N KEENE ST STE 201, COLUMBIA, MO 65201(573) 499-4990(573) 442-2120 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2023, Nov 15, 2022 (2 updates tracked since 2022).

About Mary Roberts Pa-c NPPES

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

MARY ROBERTS PA-C (NPI 1447969787) is an individual physician assistant in Columbia, Missouri and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with Northeast Regional Medical Center, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1447969787
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY ROBERTSCredential: PA-C
Location Address105 N KEENE ST STE 201Columbia, MO 65201-8131
Mailing Address105 N Keene St Ste 201Columbia, MO 65201-8131 · (573) 499-4990 · Fax (573) 442-2120
Fax(573) 442-2120
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 15, 2022
Last NPPES UpdateJuly 24, 20232 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
NPI 1447969787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
105 N KEENE ST STE 201, Columbia, MO 65201

Secondary Practice Location 1

Location 15104 Sockeye CtColumbia, MO 65203-6489 · Phone (573) 999-1692

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Roberts Pa-c 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 ID2567821481
PECOS Enrollment IDI20230710002200
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.

Areas of Expertise CMS Part B claims 16

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
3,350 services16 patients
Creatinine level to test for kidney function or muscle injury 82570
A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
1,161 services739 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
1,160 services737 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.
680 services508 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
437 services371 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.
318 services261 patients

Hospital Affiliations CMS Care Compare 4

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

Northeast Regional Medical Center

Acute Care Hospitals · Kirksville, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260022
Location315 S OsteopathyKirksville, MO 63501 · Adair County
Emergency services Birthing friendly

Boone Hospital Center

Acute Care Hospitals · Columbia, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260068
Location1600 E BroadwayColumbia, MO 65201 · Boone County
Emergency services Birthing friendly

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone County
Emergency services Birthing friendly

Pershing Memorial Hospital

Critical Access Hospitals · Brookfield, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261307
Location130 East LocklingBrookfield, MO 64628 · Linn County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65201 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 6

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

Nurse Practitioner (Family)
105 N KEENE ST STE 201
COLUMBIA, MO 65201
Urology
105 N KEENE ST STE 201
COLUMBIA, MO 65201
Nurse Practitioner (Family)
105 N KEENE ST STE 201
COLUMBIA, MO 65201
Urology
105 N KEENE ST STE 201
COLUMBIA, MO 65201
Nurse Practitioner (Family)
105 N KEENE ST STE 201
COLUMBIA, MO 65201
Urology
105 N KEENE ST STE 201
COLUMBIA, MO 65201

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 Mary Roberts's NPI number?

The NPI number for Mary Roberts is 1447969787. It was assigned to this individual provider in the NPPES registry on November 15, 2022.

Where is Mary Roberts located?

Mary Roberts practices at 105 N Keene St Ste 201, Columbia, MO 65201. The listed phone number is (573) 499-4990.

What is Mary Roberts's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary Roberts enrolled in Medicare?

Yes. Mary 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.

What insurance does Mary Roberts accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Mary 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 Mary Roberts affiliated with any hospitals?

According to CMS data, Mary Roberts is affiliated with Northeast Regional Medical Center, Boone Hospital Center, University Of Missouri Health Care and Pershing Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mary Roberts was last updated on July 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.