JOHN WARREN ROBERTSON III MD
NPI 1770511578
Surgery - Vascular Surgery in Tomah, WI

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
501 GOPHER DR, TOMAH, WI 54660(608) 372-2181 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Warren Robertson Iii Md NPPES

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

JOHN WARREN ROBERTSON III MD (NPI 1770511578) is an individual vascular surgery provider in Tomah, Wisconsin, licensed in Pennsylvania (MD044947E) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Tomah Memorial Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1770511578
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameJOHN WARREN ROBERTSON IIICredential: MD
Location Address501 GOPHER DRTomah, WI 54660-4513
Mailing Address501 Gopher DrTomah, WI 54660-4513 · (608) 372-2181
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1985
Enumeration DateJune 29, 2006
Last NPPES UpdateJanuary 4, 2021
NPPES CertifiedJanuary 4, 2021
NPI 1770511578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in PA · MD044947E
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
501 GOPHER DR, Tomah, WI 54660

Secondary Practice Location 1

Location 11940 E Walnut LanePhiladelphia, PA 19138 · Phone (215) 424-7099 · Fax (215) 424-0706

Other Identifiers 1

Medicaid001304593007PA

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

John Warren Robertson Iii Md 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 ID2163519380
PECOS Enrollment IDI20071103000053
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.

Hospital Affiliations CMS Care Compare

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

Tomah Memorial Hospital

Critical Access Hospitals · Tomah, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521320
Location501 Gopher DrTomah, WI 54660 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54660 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

Occupational Therapist
501 GOPHER DR
TOMAH, WI 54660
Nurse Anesthetist, Certified Registered
501 GOPHER DR
TOMAH, WI 54660
Physical Therapist
501 GOPHER DR
TOMAH, WI 54660
Nurse Practitioner (Family)
501 GOPHER DR
TOMAH, WI 54660
Physical Therapist
501 GOPHER DR
TOMAH, WI 54660
Nurse Practitioner
501 GOPHER DR
TOMAH, WI 54660
Non-Pharmacy Dispensing Site
501 GOPHER DR
TOMAH, WI 54660
Speech-Language Pathologist
501 GOPHER DR
TOMAH, WI 54660

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 John Robertson's NPI number?

The NPI number for John Robertson is 1770511578. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is John Robertson located?

John Robertson practices at 501 Gopher Dr, Tomah, WI 54660. The listed phone number is (608) 372-2181.

What is John Robertson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is John Robertson enrolled in Medicare?

Yes. John Robertson 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.

What insurance does John Robertson accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Quartz list John Robertson 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.

Is John Robertson affiliated with any hospitals?

According to CMS data, John Robertson is affiliated with Tomah Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John Robertson was last updated on January 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.