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DR. JUSTIN DAVID ROBERTS D.O.
NPI 1528111028
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Lancaster, PA

Active since January 19, 2007PECOS EnrolledAccepts Medicare Assignment
217 HARRISBURG AVE, LANCASTER, PA 17603(717) 544-8300(717) 544-8265 Get Directions Write a Review

NPPES record last updated: May 8, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Justin David Roberts D.o. NPPES

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

DR. JUSTIN DAVID ROBERTS D.O. (NPI 1528111028) is an individual advanced heart failure and transplant cardiology provider in Lancaster, Pennsylvania, licensed in Pennsylvania (OS013807) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1528111028
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameDR. JUSTIN DAVID ROBERTSCredential: D.O.
Location Address217 HARRISBURG AVELancaster, PA 17603-2964
Mailing Address217 Harrisburg AveLancaster, PA 17603-2964 · (717) 544-8300 · Fax (717) 544-8265
Phone(717) 544-8300
Fax(717) 544-8265
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJanuary 19, 2007
Last NPPES UpdateMay 8, 2017
✔ NPI 1528111028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License✔ Licensed in PA · OS013807
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal MedicineTaxonomy 207R00000X · License OS013807 (PA)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License OS013807 (PA)
217 HARRISBURG AVE, Lancaster, PA 17603
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Other Identifiers 1

Medicare PIN230262PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, 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 and accepts Medicare assignment

Dr. Justin David Roberts D.o. 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 ID5294909578
PECOS Enrollment IDI20111123000074
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 Justin Roberts reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Heart Group Of Lancaster General Health
Same address
Cardiovascular Disease
217 HARRISBURG AVE
Lancaster, PA 17603
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 64 clinicians in this Medicare group
NPI 1760793210 (717) 544-8300
Lancaster General Hospital
0.3 mi
Surgery
555 N DUKE ST
Lancaster, PA 17602
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 98 clinicians in this Medicare group
NPI 1154331775 (717) 544-5511

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 4

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.

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.
132 services104 patients
Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days 93297
This service involves remotely monitoring your heart and blood vessel implant system for up to 30 days. Using advanced technology, healthcare professionals can track the device's performance and your health status, ensuring the system is working optimally for your needs.
40 services37 patients
Evaluation of implantable heart and blood vessel monitoring system 93290
An evaluation of an implantable heart and blood vessel monitoring system involves checking the device that's placed inside your body to monitor your heart and blood vessels' health. It helps doctors track your heart rate, rhythm, and blood flow, aiding in prompt, accurate treatment.
23 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17603 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 20

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

MS. KIMBERLY A ANDERSEN CRNP
Nurse Practitioner (Acute Care)
217 HARRISBURG AVE, SUITE 200
LANCASTER, PA 17603
Lancaster County (717) 544-4495
MACKENZIE ERIN SHETTER CRNP
Nurse Practitioner (Gerontology)
217 HARRISBURG AVE
LANCASTER, PA 17603
Lancaster County (717) 544-8300
DR. MELISSA LYNN MCKERNAN PULLIAM M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
217 HARRISBURG AVE, THE HEART GROUP OF LGHEALTH
LANCASTER, PA 17603
Lancaster County (717) 544-8300
DR. DANA M WEINSTEIN D.O.
Internal Medicine (Cardiovascular Disease)
217 HARRISBURG AVE, THE HEART GROUP OF LGHEALTH
LANCASTER, PA 17603
Lancaster County (717) 544-8300
JESSICA NICOLE NORTON CRNP
Nurse Practitioner (Family)
217 HARRISBURG AVE
LANCASTER, PA 17603
Lancaster County (717) 544-8300
STEPHEN IMMANUEL WARREN MD
Internal Medicine (Cardiovascular Disease)
217 HARRISBURG AVE
LANCASTER, PA 17603
Lancaster County (717) 544-8300
ELENA BIGLER CRNP
Nurse Practitioner (Gerontology)
217 HARRISBURG AVE
LANCASTER, PA 17603
Lancaster County (717) 544-8300
DR. KRISTEN E WONG MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
217 HARRISBURG AVE
LANCASTER, PA 17603
Lancaster County (717) 544-8300

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 Justin Roberts's NPI number?

The NPI number for Justin Roberts is 1528111028. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Justin Roberts located?

Justin Roberts practices at 217 Harrisburg Ave, Lancaster, PA 17603. The listed phone number is (717) 544-8300.

What is Justin Roberts's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Justin Roberts enrolled in Medicare?

Yes. Justin 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 Justin Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Roberts reassigns Medicare benefits to 2 organizations: The Heart Group Of Lancaster General Health (Lancaster, PA) and Lancaster General Hospital (Lancaster, PA). 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 Justin Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Roberts accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Justin 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 Justin Roberts affiliated with any hospitals?

According to CMS data, Justin Roberts is affiliated with Lancaster General Hospital.

When was this NPI record last updated?

The NPPES record for Justin Roberts was last updated on May 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.