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DR. KEVIN G ROBERTS D.C.
NPI 1497799878
Chiropractor in Fredericktown, MO

Active since June 15, 2006
713 W MAIN ST, FREDERICKTOWN, MO 63645(573) 783-3188(573) 783-3314 Get Directions Write a Review

NPPES record last updated: October 6, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kevin G Roberts D.c. NPPES

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

DR. KEVIN G ROBERTS D.C. (NPI 1497799878) is an individual chiropractor in Fredericktown, Missouri, licensed in Missouri (004431) and active in the NPI registry since June 2006. He is a graduate of Logan College Of Chiropractic (1979).

NPPES Registry Identity

NPI1497799878
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KEVIN G ROBERTSCredential: D.C.
Location Address713 W MAIN STFredericktown, MO 63645-1113
Mailing AddressPo Box 189Fredericktown, MO 63645-0189 · (573) 783-3188 · Fax (573) 783-3314
Phone(573) 783-3188
Fax(573) 783-3314
Sole ProprietorYes
Medical School CMSLogan College Of ChiropracticGraduated 1979
Enumeration DateJune 15, 2006
Last NPPES UpdateOctober 6, 2010
✔ NPI 1497799878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 004431
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
713 W MAIN ST, Fredericktown, MO 63645
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Other Identifiers 9

Other0497085MO · Cigna Id #
Medicare PIN001013947MO
Medicaid752824805MO
Medicare UPINT43347MO
Other4407100MO · United Healthcare Id #
Other0497085MO · Healthlink Id #
Other106834MO · Healthlink Id #
Other000013947MO · Medicare Group
Other12362MO · Blue Cross Id #

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin G Roberts D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224220918
PECOS Enrollment IDI20101013000848

Medicare Billing Reassignment

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

Kevin G. Roberts D.C., P.C.
Same address
Chiropractor
713 W MAIN ST
Fredericktown, MO 63645
  • Reassigned Medicare billing, Missouri enrollment
NPI 1386823003 (573) 783-3188

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
145 services18 patients

Other Providers at the Same Location NPPES

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

KEVIN G. ROBERTS D.C., P.C.
Chiropractor
713 W MAIN ST
FREDERICKTOWN, MO 63645
Madison County (573) 783-3188

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 Kevin Roberts's NPI number?

The NPI number for Kevin Roberts is 1497799878. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Kevin Roberts located?

Kevin Roberts practices at 713 W Main St, Fredericktown, MO 63645. The listed phone number is (573) 783-3188.

What is Kevin Roberts's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kevin Roberts enrolled in Medicare?

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

Which organization bills Medicare for Kevin Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Roberts reassigns Medicare benefits to Kevin G. Roberts D.C., P.C. (Fredericktown, MO). 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 Kevin Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Roberts accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Kevin 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 Kevin Roberts was last updated on October 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.