EDWIN D ROBERTSON PHD
NPI 1649200700
Clinical Neuropsychologist in Tyler, TX

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
701 OLYMPIC PLAZA CIR, TYLER, TX 75701(903) 596-3000(903) 596-3006 Get Directions Write a Review

NPPES record last updated: December 31, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Edwin D Robertson Phd NPPES

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

EDWIN D ROBERTSON PHD (NPI 1649200700) is an individual clinical neuropsychologist in Tyler, Texas, licensed in Texas (24420) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1649200700
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameEDWIN D ROBERTSONCredential: PHD
Location Address701 OLYMPIC PLAZA CIRTyler, TX 75701-1950
Mailing AddressPo Box 9477Tyler, TX 75711-9477 · (903) 594-2450 · Fax (903) 509-0493
Fax(903) 596-3006
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJuly 4, 2006
Last NPPES UpdateDecember 31, 2019
NPI 1649200700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in TX · 24420
Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologistTaxonomy 103T00000X · License 24420 (TX)
701 OLYMPIC PLAZA CIR, Tyler, TX 75701

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

Edwin D Robertson Phd 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 ID9537057740
PECOS Enrollment IDI20040309000857
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
143 services74 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
135 services129 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
55 services41 patients

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Physical Therapist
701 OLYMPIC PLAZA CIR
TYLER, TX 75701
Rehabilitation Hospital
701 OLYMPIC PLAZA CIR
TYLER, TX 75701
Clinical Exercise Physiologist
701 OLYMPIC PLAZA CIR
TYLER, TX 75701
Speech-Language Pathologist
701 OLYMPIC PLAZA CIR
TYLER, TX 75701
Registered Nurse (Cardiac Rehabilitation)
701 OLYMPIC PLAZA CIR
TYLER, TX 75701
Specialist/Technologist (Athletic Trainer)
701 OLYMPIC PLAZA CIR
TYLER, TX 75701
Physical Therapy Assistant
701 OLYMPIC PLAZA CIR
TYLER, TX 75701
Physical Medicine & Rehabilitation
701 OLYMPIC PLAZA CIR
TYLER, TX 75701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649200700, enumerated as an "individual" on July 04, 2006.

The provider is located at 701 OLYMPIC PLAZA CIR TYLER, TX 75701 and the phone number is (903) 596-3000.

Clinical Neuropsychologist with taxonomy code 103G00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.