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ROBERTA O'CONNOR JUPP RD
NPI 1659405512
Dietitian, Registered in Lexington, SC

Active since March 15, 2007Accepts Medicare Assignment
83.03/100
CMS Quality Rating
147 VERA RD STE E, LEXINGTON, SC 29072(803) 399-0212(803) 728-3224 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 16, 2022, Sep 30, 2020 (2 updates tracked since 2020).

About Roberta O'connor Jupp Rd NPPES

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

ROBERTA O'CONNOR JUPP RD (NPI 1659405512) is an individual dietitian, registered in Lexington, South Carolina, licensed in South Carolina (131) and active in the NPI registry since March 2007. She maintains 3 additional practice locations and is a graduate of Other (1989).

NPPES Registry Identity

NPI1659405512
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameROBERTA O'CONNOR JUPPCredential: RD
Location Address147 VERA RD STE ELexington, SC 29072-3756
Mailing Address723 Elliptic Green LnLexington, SC 29073-7057 · (803) 622-9104 · Fax (803) 728-3224
Phone(803) 399-0212
Fax(803) 728-3224
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateMarch 15, 2007
Last NPPES UpdateApril 26, 20232 updates tracked since enumeration
NPPES CertifiedApril 26, 2023
✔ NPI 1659405512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed in SC · 131✔ Licensed in SC · 726464
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
147 VERA RD STE E, Lexington, SC 29072
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1338 E Columbia AveBatesburg Leesville, SC 29070-9285 · Phone (803) 604-0066 · Fax (803) 604-9924
Location 2905 Pope StNewberry, SC 29108-1928 · Phone (803) 399-0212 · Fax (803) 728-3224
Location 32720 Sunset BlvdWest Columbia, SC 29169-4810 · Phone (803) 935-8292

Other Identifiers 1

MedicaidDPE012SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roberta O'connor Jupp Rd 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 ID4880900976
PECOS Enrollment IDI20150903002842

Medicare Billing Reassignments

2

Medicare enrollment records show Roberta Jupp reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Path Of Life Nutrition
Same address
Dietitian, Registered
147 VERA RD STE A
Lexington, SC 29072
  • Reassigned Medicare billing, South Carolina enrollment
  • 4 clinicians in this Medicare group
NPI 1245610534 (803) 575-0468
Lexington Health Inc
0.9 mi
Rehabilitation, Cardiac Facilities
811 W MAIN ST STE 212
Lexington, SC 29072
  • Reassigned Medicare billing, South Carolina enrollment
  • 1,219 clinicians in this Medicare group
NPI 1093313207 (803) 358-6187

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29072 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
$0.00 typical visit price
range $53.57 – $163.84
Typical copayment $0.00 (range $13.39 – $40.96)
Most-billed visit code NA
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

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 Roberta Jupp's NPI number?

The NPI number for Roberta Jupp is 1659405512. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Roberta Jupp located?

Roberta Jupp practices at 147 Vera Rd Ste E, Lexington, SC 29072. The listed phone number is (803) 399-0212.

What is Roberta Jupp's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Roberta Jupp enrolled in Medicare?

Yes. Roberta Jupp 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.

Which organizations bill Medicare for Roberta Jupp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roberta Jupp reassigns Medicare benefits to 2 organizations: Path Of Life Nutrition (Lexington, SC) and Lexington Health Inc (Lexington, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roberta Jupp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Roberta Jupp was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.