1. Home
  2. Directory
  3. Minnesota
  4. Duluth
  5. Physician Assistant
  6. NPI Profile

TONI MARIE ROBERTS PA-C
NPI 1609037183
Physician Assistant in Duluth, MN

Active since June 18, 2008PECOS EnrolledAccepts Medicare Assignment
26 E SUPERIOR ST, STE. 205, DULUTH, MN 55802(218) 249-4300(218) 249-4350 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 25, 2021, Jan 30, 2017 (2 updates tracked since 2017).

About Toni Marie Roberts Pa-c NPPES

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

TONI MARIE ROBERTS PA-C (NPI 1609037183) is an individual physician assistant in Duluth, Minnesota, licensed in Minnesota (10475) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1609037183
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTONI MARIE ROBERTSCredential: PA-C
Location Address26 E SUPERIOR ST, STE. 205Duluth, MN 55802-2124
Mailing Address26 E Superior St, Ste. 205Duluth, MN 55802-2124 · (218) 249-4300 · Fax (218) 249-4350
Phone(218) 249-4300
Fax(218) 249-4350
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 18, 2008
Last NPPES UpdateJanuary 25, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2021
✔ NPI 1609037183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 10475
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
26 E SUPERIOR ST, Duluth, MN 55802
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Security Health Plan.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

Toni Marie Roberts Pa-c 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 ID143397208
PECOS Enrollment IDI20080916000350
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 2

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.
66 services31 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55802 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers16 claims45 services$6.37 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 10

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

DR. ROBERT GLENN MCDONALD M. D.
Family Medicine
26 E SUPERIOR ST, SUITE 205
DULUTH, MN 55802
St. Louis County (218) 249-4300
DR. PETER ALAN WODRICH M.D.
Family Medicine
26 E SUPERIOR ST, STE. 205
DULUTH, MN 55802
St. Louis County (218) 249-4300
DR. NYASHA L.M. SPEARS MD
Family Medicine
26 E SUPERIOR ST, STE. 205
DULUTH, MN 55802
St. Louis County (218) 249-4300
RACHEL MARIE NELSON M.D.
Family Medicine
26 E SUPERIOR ST, SUITE 205
DULUTH, MN 55802
St. Louis County (218) 249-4300
ST. LUKE'S HOSPITAL OF DULUTH
Family Medicine
26 E SUPERIOR ST, STE 205
DULUTH, MN 55802
St. Louis County (218) 249-4300
DR. TIMOTHY SCOTT LAMASTER M. D.
Family Medicine
26 E SUPERIOR ST, SUITE 205
DULUTH, MN 55802
St. Louis County (218) 249-4300
MELISSA ANN NERVICK-THORNTON MSED, LPCC
Counselor (Professional)
26 E SUPERIOR ST
DULUTH, MN 55802
St. Louis County (218) 722-4180
DR. CRAIG LEE GILBERTSON M.D.
Family Medicine
26 E SUPERIOR ST, STE. 205
DULUTH, MN 55802
St. Louis County (218) 249-4300

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 Toni Roberts's NPI number?

The NPI number for Toni Roberts is 1609037183. It was assigned to this individual provider in the NPPES registry on June 18, 2008.

Where is Toni Roberts located?

Toni Roberts practices at 26 E Superior St Ste. 205, Duluth, MN 55802. The listed phone number is (218) 249-4300.

What is Toni Roberts's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Toni Roberts enrolled in Medicare?

Yes. Toni 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 Toni Roberts accept?

Health plans from HealthPartners, Medica and Security Health Plan list Toni 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 Toni Roberts affiliated with any hospitals?

According to CMS data, Toni Roberts is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Toni Roberts was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.