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DONALD W. ROBERTS M.D.
NPI 1760428478
Orthopaedic Surgery in Vancouver, WA

Active since June 21, 2006Opted out of Medicare · through Apr 24, 2027
200 NE MOTHER JOSEPH PL, SUITE 110, VANCOUVER, WA 98664(360) 254-6161(360) 449-1146 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Donald W. Roberts M.d. NPPES

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

DONALD W. ROBERTS M.D. (NPI 1760428478) is an individual orthopaedic surgery provider in Vancouver, Washington, licensed in Washington (MD23842) and active in the NPI registry since June 2006. He has opted out of Medicare through April 24, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1760428478
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDONALD W. ROBERTSCredential: M.D.
Location Address200 NE MOTHER JOSEPH PL, SUITE 110Vancouver, WA 98664-3299
Mailing Address200 Ne Mother Joseph Pl, Suite 210Vancouver, WA 98664-3299 · (360) 254-6161 · Fax (360) 449-1139
Phone(360) 254-6161
Fax(360) 449-1146
Sole ProprietorNo
Enumeration DateJune 21, 2006
Last NPPES UpdateOctober 10, 2007
✔ NPI 1760428478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in WA · MD23842✔ Licensed in OR · MD15898
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

200 NE MOTHER JOSEPH PL, Vancouver, WA 98664
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Other Identifiers 4

Medicare UPIND33899
Medicare ID-Type Unspecified106663OR
Medicaid179432OR
Medicaid1012285WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Donald W. Roberts M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 24, 2025 through April 24, 2027.

Opt-Out Effective DateApril 24, 2025
Opt-Out In Effect ThroughApril 24, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 11

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.

X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
98 services76 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
92 services75 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
59 services56 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.
59 services54 patients
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.
57 services53 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98664 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
6 suppliers55 claims1,163 services$21.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

NORMAN C. ROKOSZ M.D.
Neurological Surgery
200 NE MOTHER JOSEPH PL, SUITE 110
VANCOUVER, WA 98664
Clark County (360) 254-6161
EDWARD H. COALE M.D.
Orthopaedic Surgery (Hand Surgery)
200 NE MOTHER JOSEPH PL, SUITE 110
VANCOUVER, WA 98664
Clark County (360) 254-6161
JAMES WEBSTER PT
Physical Therapist
200 NE MOTHER JOSEPH PL, SUITE 210
VANCOUVER, WA 98664
Clark County (360) 254-6161
ALAN P. NEWMAN M.D.
Orthopaedic Surgery
200 NE MOTHER JOSEPH PL, SUITE 110
VANCOUVER, WA 98664
Clark County (360) 254-6161
EDWARD A. SPARLING M.D.
Orthopaedic Surgery
200 NE MOTHER JOSEPH PL, SUITE 110
VANCOUVER, WA 98664
Clark County (360) 254-6161
PHILLIP A RUFF MPT, CHT
Physical Therapist (Hand)
200 NE MOTHER JOSEPH PL, SUITE 110
VANCOUVER, WA 98664
Clark County (360) 254-6161
NATALIE E BOODIN M.D.
Physical Medicine & Rehabilitation
200 NE MOTHER JOSEPH PL, #100
VANCOUVER, WA 98664
Clark County (360) 514-3142
EDGAR K. RAGSDALE M.D.
Orthopaedic Surgery
200 NE MOTHER JOSEPH PL, SUITE 110
VANCOUVER, WA 98664
Clark County (360) 254-6161

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 Donald Roberts's NPI number?

The NPI number for Donald Roberts is 1760428478. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Donald Roberts located?

Donald Roberts practices at 200 NE Mother Joseph Pl Suite 110, Vancouver, WA 98664. The listed phone number is (360) 254-6161.

What is Donald Roberts's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Donald Roberts enrolled in Medicare?

No. Donald Roberts has opted out of Medicare through April 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Donald Roberts accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska and 2 other insurers list Donald 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 Donald Roberts was last updated on October 10, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.