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MS. REBECCA L ROBERTS CNP,CDE
NPI 1619123478
Nurse Practitioner - Adult Health in Oakwood, OH

Active since August 13, 2008PECOS EnrolledAccepts Medicare Assignment
84.95/100
CMS Quality Rating
400 SUGAR CAMP CIR STE 205, OAKWOOD, OH 45409(937) 395-3656(937) 395-3657 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ms. Rebecca L Roberts Cnp,cde NPPES

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

MS. REBECCA L ROBERTS CNP,CDE (NPI 1619123478) is an individual adult health provider in Oakwood, Ohio, licensed in Ohio (COA.10474-NP) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1619123478
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. REBECCA L ROBERTSCredential: CNP,CDE
Location Address400 SUGAR CAMP CIR STE 205Oakwood, OH 45409-1981
Mailing Address400 Sugar Camp Cir Ste 205Oakwood, OH 45409-1981 · (937) 395-3656 · Fax (937) 395-3657
Phone(937) 395-3656
Fax(937) 395-3657
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 13, 2008
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1619123478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in OH · COA.10474-NP
Also ListedRegistered NurseTaxonomy 163W00000X · License 291690 (OH)
Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X · License RN291690 (OH)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License NP-10474 (OH)
400 SUGAR CAMP CIR STE 205, Oakwood, OH 45409
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12649 Salem Ave Ste 510Dayton, OH 45406-2932 · Phone (937) 395-3656 · Fax (937) 395-3657
Location 2136 S Ludlow St Fl 1Dayton, OH 45402-1813 · Phone (937) 499-8273
Location 33130 N County Road 25A Ste 201Troy, OH 45373-1337 · Phone (937) 395-3656 · Fax (937) 395-3657

Other Identifiers 3

Other000000599279OH · Bcbs Ohio
Medicaid2948341OH
Other421534506138OH · Caresource Ohio

Accepted Insurance

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

Ms. Rebecca L Roberts Cnp,cde 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 ID547326316
PECOS Enrollment IDI20090303000091
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 3

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.
406 services230 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
345 services206 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
166 services111 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

84.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost69.16

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
69%155 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
81%182 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
30%214 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
53%80 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers33 claims408 services$16.75 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers36 claims1,040 services$2.17 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
1 supplier14 claims14 services$173.40 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
50 suppliers164 claims669 services$5.92 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
19 suppliers30 claims77 services$0.88 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
18 suppliers50 claims5,070 services$6.79 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 3

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

KATHERYN ROSE TALCOTT MS, RD, CDE, LD
Nutritionist (Nutrition, Education)
400 SUGAR CAMP CIR STE 205
OAKWOOD, OH 45409
Montgomery County (937) 395-3656
SARAH M CLARK RN
Registered Nurse (Diabetes Educator)
400 SUGAR CAMP CIR STE 205
OAKWOOD, OH 45409
Montgomery County (937) 395-3656
HEIDI BUCKINGHAM MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
400 SUGAR CAMP CIR STE 205
OAKWOOD, OH 45409
Montgomery County (937) 395-3656

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 Rebecca Roberts's NPI number?

The NPI number for Rebecca Roberts is 1619123478. It was assigned to this individual provider in the NPPES registry on August 13, 2008.

Where is Rebecca Roberts located?

Rebecca Roberts practices at 400 Sugar Camp Cir Ste 205, Oakwood, OH 45409. The listed phone number is (937) 395-3656.

What is Rebecca Roberts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Rebecca Roberts enrolled in Medicare?

Yes. Rebecca 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 Rebecca Roberts accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Rebecca 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 Rebecca Roberts was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.