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DR. JERRY TED ROBERTS O.D.
NPI 1629032768
Optometrist - Corneal and Contact Management in Kilgore, TX

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment
1100 STONE RD, SUITE 2020, KILGORE, TX 75662(903) 983-2020(903) 983-4000 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jerry Ted Roberts O.d. NPPES

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

DR. JERRY TED ROBERTS O.D. (NPI 1629032768) is an individual corneal and contact management provider in Kilgore, Texas, licensed in Texas (TX2344TG) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1976).

NPPES Registry Identity

NPI1629032768
Entity TypeIndividualMale
Primary Taxonomy152WC0802X
Provider Legal NameDR. JERRY TED ROBERTSCredential: O.D.
Location Address1100 STONE RD, SUITE 2020Kilgore, TX 75662-5482
Mailing Address1100 Stone Rd, Suite 2020Kilgore, TX 75662-5482 · (903) 983-2020 · Fax (903) 983-4000
Phone(903) 983-2020
Fax(903) 983-4000
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1976
Enumeration DateApril 14, 2006
Last NPPES UpdateFebruary 11, 2008
✔ NPI 1629032768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in TX · TX2344TG
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
1100 STONE RD, Kilgore, TX 75662
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Other Identifiers 6

Other168830001TX · Cigna Government
Other83381ETX · Blue Cross Blue Shield
Medicare UPINT1577TX
Medicaid019369001TX
Medicare PIN83381ETX
Other410022897TX · Palmetto Gba Railroad Med

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Dr. Jerry Ted Roberts O.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 ID5496863250
PECOS Enrollment IDI20101228000036
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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
111 services103 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
110 services106 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75662 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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 7

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

KILGORE-GILMER EYE CARE CENTERS P.A.
Optometrist
1100 STONE RD, SUITE 2020
KILGORE, TX 75662
Gregg County (903) 983-2020
DR. KYLE DAVID FERRO D.D.S.
Dentist
1100 STONE RD, SUITE 265
KILGORE, TX 75662
Gregg County (903) 984-3597
DR. JEFFREY L DAVIS DDS
Dentist (General Practice)
1100 STONE RD, SUITE 265
KILGORE, TX 75662
Gregg County (903) 984-3597
NITA J CHILDERS
Counselor (Professional)
1100 STONE RD, SUITE 102
KILGORE, TX 75662
Gregg County (903) 984-7000
TOTALCARE COMPREHENSIVE HOME HEALTH SUPPLY
Durable Medical Equipment & Medical Supplies
1100 STONE RD, SUITE 105
KILGORE, TX 75662
Gregg County (903) 986-3792
CHRISTOPHER RICHARD GRATTON, D.C., P.C.
Chiropractor
1100 STONE RD, SUITE 269
KILGORE, TX 75662
Gregg County (903) 218-5353
DR. JADIE BOLTON ROBERTS OD
Optometrist
1100 STONE RD, SUITE 2020
KILGORE, TX 75662
Gregg County (903) 983-2020

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 Jerry Roberts's NPI number?

The NPI number for Jerry Roberts is 1629032768. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Jerry Roberts located?

Jerry Roberts practices at 1100 Stone Rd Suite 2020, Kilgore, TX 75662. The listed phone number is (903) 983-2020.

What is Jerry Roberts's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Jerry Roberts enrolled in Medicare?

Yes. Jerry 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 Jerry Roberts accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Jerry 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 Jerry Roberts was last updated on February 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.