LARRY C ROBERTS MD
NPI 1578565859
Dermatology - Dermatopathology in Canyon, TX

Active since June 01, 2005Opted out of Medicare · through Dec 13, 2027
2005 N 2ND AVE STE D, CANYON, TX 79015(806) 510-3376(806) 510-3379 Get Directions Write a Review

NPPES record last updated: October 18, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Larry C Roberts Md NPPES

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

LARRY C ROBERTS MD (NPI 1578565859) is an individual dermatopathology provider in Canyon, Texas, licensed in Texas (E8856) and active in the NPI registry since June 2005. He has opted out of Medicare through December 13, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1578565859
Entity TypeIndividualMale
Primary Taxonomy207ND0900X
Provider Legal NameLARRY C ROBERTSCredential: MD
Location Address2005 N 2ND AVE STE DCanyon, TX 79015-2545
Mailing Address2005 N 2nd AveCanyon, TX 79015-2544 · (806) 510-3376 · Fax (806) 510-3379
Fax(806) 510-3379
Sole ProprietorNo
Enumeration DateJune 1, 2005
Last NPPES UpdateOctober 18, 2016
NPI 1578565859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
License Licensed in TX · E8856
Definition

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Also ListedSpecialistTaxonomy 174400000X
2005 N 2ND AVE STE D, Canyon, TX 79015

Other Identifiers 4

Medicare PIN807985TX
Other807985TX · Blue Cross Blue Shield
Medicaid037631101TX
Other070002897TX · Medicare Railroad

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Larry C Roberts Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 13, 2013 through December 13, 2027.

Opt-Out Effective DateDecember 13, 2013
Opt-Out In Effect ThroughDecember 13, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79015 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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

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

Dermatology
2005 N 2ND AVE STE D
CANYON, TX 79015

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 Larry Roberts's NPI number?

The NPI number for Larry Roberts is 1578565859. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Larry Roberts located?

Larry Roberts practices at 2005 N 2nd Ave Ste D, Canyon, TX 79015. The listed phone number is (806) 510-3376.

What is Larry Roberts's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Is Larry Roberts enrolled in Medicare?

No. Larry Roberts has opted out of Medicare through December 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Larry Roberts was last updated on October 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.