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PAUL JOSEPH ROBERTS MD
NPI 1477664431
Psychiatry & Neurology - Neurology in Mendham, NJ

Active since August 31, 2006PECOS Enrolled
23 COVENTRY RD, MENDHAM, NJ 07945(973) 222-1440(339) 209-2240 Get Directions Write a Review

NPPES record last updated: October 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Paul Joseph Roberts Md NPPES

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

PAUL JOSEPH ROBERTS MD (NPI 1477664431) is an individual neurology provider in Mendham, New Jersey, licensed in New Jersey (MA52740) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477664431
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NamePAUL JOSEPH ROBERTSCredential: MD
Location Address23 COVENTRY RDMendham, NJ 07945-1519
Mailing Address23 Coventry RdMendham, NJ 07945-1519 · (973) 222-1449 · Fax (339) 209-2240
Phone(973) 222-1440
Fax(339) 209-2240
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateOctober 12, 2025
NPPES CertifiedOctober 12, 2025
✔ NPI 1477664431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NJ · MA52740
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
23 COVENTRY RD, Mendham, NJ 07945
Open in Google Maps ↗

Other Identifiers 1

Medicaid1513800NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Joseph Roberts 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 Reassignment

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

The Radiology Group Of New Jersey, LLC
13 mi
Multi-Specialty
651 WILLOW GROVE ST
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey enrollment
  • 429 clinicians in this Medicare group
NPI 1174010540 (908) 979-1621

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 07945 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Reported Quality Measures

Dementia Associated Behavioral and Psychiatric Symptoms Screening and Management
Percentage of patients with dementia for whom there was a documented symptoms screening* for behavioral and psychiatric symptoms, including depression, AND for whom, if symptoms screening was positive, there was also documentation of recommendations for…
100%94 patients5/55-star benchmark: 100%
Dementia: Caregiver Education and Support
Percentage of patients with dementia whose caregiver(s)* were provided with education** on dementia disease management and health behavior changes AND were referred to additional resources*** for support in the last 12 months
100%90 patients5/55-star benchmark: 100%
Dementia: Functional Status Assessment
Percentage of patients with dementia for whom an assessment of functional status* was performed at least once in the last 12 months
100%94 patients5/55-star benchmark: 100%
Dementia: Safety Concerns Screening and Mitigation Recommendations or Referral for Patients with Dementia
Percentage of patients with dementia or their caregiver(s) for whom there was a documented safety concerns screening * in two domains of risk: 1) dangerousness to self or others and 2) environmental risks; and if safety concerns screening was positive in the…
100%94 patients5/55-star benchmark: 100%
Parkinson's Disease: Psychiatric Symptoms Assessment for Patients with Parkinson's Disease
Percentage of all patients with a diagnosis of Parkinson's Disease [PD] who were assessed* for psychiatric symptoms** in the past 12 months
100%59 patients5/55-star benchmark: 100%
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.

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 Paul Roberts's NPI number?

The NPI number for Paul Roberts is 1477664431. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Paul Roberts located?

Paul Roberts practices at 23 Coventry Rd, Mendham, NJ 07945. The listed phone number is (973) 222-1440.

What is Paul Roberts's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Paul Roberts enrolled in Medicare?

Yes. Paul Roberts is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paul Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Roberts reassigns Medicare benefits to The Radiology Group Of New Jersey, LLC (Hackettstown, NJ). 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 Paul Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Roberts accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Paul 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.

When was this NPI record last updated?

The NPPES record for Paul Roberts was last updated on October 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.