JARED ELDON ROBERTS M.D.
NPI 1629494935
Dermatology - MOHS-Micrographic Surgery in Jbsa Lackland, TX

Active since March 11, 2014PECOS EnrolledAccepts Medicare Assignment
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236(210) 292-6255(210) 292-7934 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2024, Jun 14, 2023, Oct 18, 2019 and 3 more (6 updates tracked since 2016).

About Jared Eldon Roberts M.d. NPPES

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

JARED ELDON ROBERTS M.D. (NPI 1629494935) is an individual mohs-micrographic surgery provider in Jbsa Lackland, Texas, licensed in Texas (S5483) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Sam Houston, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2014).

NPPES Registry Identity

NPI1629494935
Entity TypeIndividualMale
Primary Taxonomy207ND0101X
Provider Legal NameJARED ELDON ROBERTSCredential: M.D.
Location Address1100 WILFORD HALL LOOP BLDG 4554Jbsa Lackland, TX 78236-5638
Mailing Address1100 Wilford Hall LoopSan Antonio, TX 78236-5638 · (210) 292-8808
Fax(210) 292-7934
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2014
Enumeration DateMarch 11, 2014
Last NPPES UpdateFebruary 12, 20266 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
NPI 1629494935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License Licensed in TX · S5483
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X · License S5483 (TX)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License S5483 (TX)
1100 WILFORD HALL LOOP BLDG 4554, Jbsa Lackland, TX 78236

Secondary Practice Location 1

Location 13551 Roger Brooke DrFort Sam Houston, TX 78234-4504 · Phone (210) 292-6255

Accepted 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

Jared Eldon Roberts M.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 ID2860991874
PECOS Enrollment IDI20250818000788
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78236 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 20

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

Anesthesiology
1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX 78236
Marriage & Family Therapist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Internal Medicine
1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX 78236
Allergy & Immunology
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Radiology (Diagnostic Radiology)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Pharmacist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Chiropractor
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Optometrist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236

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 Jared Roberts's NPI number?

The NPI number for Jared Roberts is 1629494935. It was assigned to this individual provider in the NPPES registry on March 11, 2014.

Where is Jared Roberts located?

Jared Roberts practices at 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-6255.

What is Jared Roberts's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Jared Roberts enrolled in Medicare?

Yes. Jared 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 Jared Roberts accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and Oscar Insurance Company list Jared 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 Jared Roberts was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.