MARK S ROBERTO M.D.
NPI 1750384681
Family Medicine in Springfield, OH

Q: What is Mark Roberto's NPI number?

The NPI number for Mark Roberto is 1750384681. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Q: What is Mark Roberto's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Roberto was last updated on December 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment

3250 MIDDLE URBANA RD, SPRINGFIELD, OH 45502(937) 399-7777(937) 399-6794 Get Directions Write a Review

NPPES record last updated: December 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2020, Dec 6, 2018 (2 updates tracked since 2018).

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About Mark S Roberto M.d. NPPES

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

MARK S ROBERTO M.D. (NPI 1750384681) is an individual family medicine provider in Springfield, Ohio, licensed in Ohio (35-04-6604-R) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Springfield Regional Medical Center, and is a graduate of University Of Cincinnati College Of Medicine (1980).

NPPES Registry Identity

NPI1750384681

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMARK S ROBERTOCredential: M.D.

Location Address3250 MIDDLE URBANA RDSpringfield, OH 45502-9285

Mailing Address3250 Middle Urbana RdSpringfield, OH 45502-9285 · (937) 399-7777 · Fax (937) 399-6794

Phone(937) 399-7777

Fax(937) 399-6794

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1980

Enumeration DateMay 24, 2005

Last NPPES UpdateDecember 17, 20202 updates tracked since enumeration

NPPES CertifiedDecember 17, 2020

✔ NPI 1750384681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 35-04-6604-R

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3250 MIDDLE URBANA RD, Springfield, OH 45502

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Other Identifiers 7

Medicaid0466419OH

Other311202780008OH · Cigna

Other000000014201OH · Anthem

Other4013944OH · Aetna

OtherOH0032545OH · Tricare/champus

Other0101219OH · United Health Care

Other080010552OH · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Mark S Roberto 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 ID7719910132

PECOS Enrollment IDI20100104000423

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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

202 services112 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

79 services59 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

56 services56 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

15 services14 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

15 services14 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

14 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Springfield Regional Medical Center

Acute Care Hospitals · Springfield, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360086

Location100 Medical Center DriveSpringfield, OH 45504 · Clark County

Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360133

Location405 Grand AvenueDayton, OH 45405 · Montgomery County

Birthing friendly

Ohio Valley Surgical Hospital

Acute Care Hospitals · Springfield, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number360355

Location100 West Main StreetSpringfield, OH 45502 · Clark County

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360360

Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45502 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

10 suppliers30 claims67 services$6.49 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers21 claims27 services$1.19 avg. paid by Medicare

Skin barrier; solid, 6 x 6 or equivalent, each A5121

DME-Orthotic Devices · category DF010N

1 supplier11 claims220 services$6.74 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 6

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

RAGEN ELIZABETH ENGEL PA-C

Physician Assistant