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AMANDA M ROUBLICK M.D.
NPI 1720370158
Pediatrics in Utica, NY

Active since May 03, 2011PECOS Enrolled
1256 CULVER AVE., UTICA, NY 13501(315) 738-7186(315) 738-0188 Get Directions Write a Review

NPPES record last updated: October 9, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amanda M Roublick M.d. NPPES

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

AMANDA M ROUBLICK M.D. (NPI 1720370158) is an individual pediatrics provider in Utica, New York, licensed in New York (279063-1) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720370158
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameAMANDA M ROUBLICKCredential: M.D.
Location Address1256 CULVER AVE.Utica, NY 13501
Mailing Address1256 Culver Ave.Utica, NY 13501 · (315) 738-7186 · Fax (315) 738-0188
Phone(315) 738-7186
Fax(315) 738-0188
Sole ProprietorNo
Enumeration DateMay 3, 2011
Last NPPES UpdateOctober 9, 2015
✔ NPI 1720370158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NY · 279063-1✔ Licensed in CA · A122395
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1256 CULVER AVE., Utica, NY 13501
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda M Roublick M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Roublick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mvhs Inc
2.1 mi
Family Medicine
111 HOSPITAL DR
Utica, NY 13502
  • Reassigned Medicare billing, New York enrollment
  • 657 clinicians in this Medicare group
NPI 1770690737 (315) 917-9966

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 13501 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Amanda Roublick's NPI number?

The NPI number for Amanda Roublick is 1720370158. It was assigned to this individual provider in the NPPES registry on May 3, 2011.

Where is Amanda Roublick located?

Amanda Roublick practices at 1256 Culver Ave., Utica, NY 13501. The listed phone number is (315) 738-7186.

What is Amanda Roublick's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Amanda Roublick enrolled in Medicare?

Yes. Amanda Roublick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Roublick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Roublick reassigns Medicare benefits to Mvhs Inc (Utica, NY). The 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 Amanda Roublick'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 Amanda Roublick was last updated on October 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.