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KARL C ROBERTS M.D.
NPI 1508827049
Orthopaedic Surgery in Grand Rapids, MI

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
86.44/100
CMS Quality Rating
2144 E PARIS AVE SE STE 240, GRAND RAPIDS, MI 49546(616) 949-8945(616) 949-1115 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2023, Oct 6, 2021 (2 updates tracked since 2021).

About Karl C Roberts M.d. NPPES

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

KARL C ROBERTS M.D. (NPI 1508827049) is an individual orthopaedic surgery provider in Grand Rapids, Michigan, licensed in Michigan (4301072367) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Indiana University School Of Medicine (1998).

NPPES Registry Identity

NPI1508827049
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameKARL C ROBERTSCredential: M.D.
Location Address2144 E PARIS AVE SE STE 240Grand Rapids, MI 49546-6117
Mailing Address2144 E Paris Ave Se Ste 240Grand Rapids, MI 49546-6117 · (616) 949-8945 · Fax (616) 949-1115
Phone(616) 949-8945
Fax(616) 949-1115
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1998
Enumeration DateMarch 31, 2006
Last NPPES UpdateJune 27, 20232 updates tracked since enumeration
NPPES CertifiedJune 27, 2023
✔ NPI 1508827049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MI · 4301072367
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2144 E PARIS AVE SE STE 240, Grand Rapids, MI 49546
Open in Google Maps ↗

Other Identifiers 1

Medicaid4514905MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Karl C Roberts M.d. 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 ID8123118098
PECOS Enrollment IDI20071214000645
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 11

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.

X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
116 services82 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.
79 services62 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
75 services38 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
48 services48 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
43 services36 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.
34 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Corewell Health Big Rapids Hospital

Acute Care Hospitals · Big Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230093
Location605 Oak StreetBig Rapids, MI 49307 · Mecosta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

86.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.93
Promoting Interoperability100
Improvement Activities40
Cost41.91

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
4 suppliers11 claims11 services$45.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

KEVIN VANDOKKUMBURG PA-C
Physician Assistant (Surgical)
2144 E PARIS AVE SE STE 240
GRAND RAPIDS, MI 49546
Kent County (616) 949-8945
CARL WIERKS M.D.
Orthopaedic Surgery (Sports Medicine)
2144 E PARIS AVE SE STE 240
GRAND RAPIDS, MI 49546
Kent County (616) 949-8945
WESTERN MICHIGAN BONE & JOINT SURGEONS PC
Specialist
2144 E PARIS AVE SE STE 240
GRAND RAPIDS, MI 49546
Kent County (616) 949-8945
DR. THOMAS STANLEY WENZLICK MD
Orthopaedic Surgery
2144 E PARIS AVE SE STE 240
GRAND RAPIDS, MI 49546
Kent County (989) 274-0082
PATRICK MICHAEL ZIETZ MD
Orthopaedic Surgery
2144 E PARIS AVE SE STE 240
GRAND RAPIDS, MI 49546
Kent County (616) 949-8945

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 Karl Roberts's NPI number?

The NPI number for Karl Roberts is 1508827049. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Karl Roberts located?

Karl Roberts practices at 2144 E Paris Ave SE Ste 240, Grand Rapids, MI 49546. The listed phone number is (616) 949-8945.

What is Karl Roberts's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Karl Roberts enrolled in Medicare?

Yes. Karl 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 Karl Roberts accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Karl 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 Karl Roberts affiliated with any hospitals?

According to CMS data, Karl Roberts is affiliated with Spectrum Health and Corewell Health Big Rapids Hospital.

When was this NPI record last updated?

The NPPES record for Karl Roberts was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.