DR. JOHN BOONE ROBERSON SR.
NPI 1871607812
Dentist - Oral and Maxillofacial Surgery in Hattiesburg, MS

Active since August 18, 2006PECOS Enrolled
811 SOUTH 28TH AVENUE, HATTIESBURG, MS 39402(601) 261-2611(601) 261-2711 Get Directions Write a Review

NPPES record last updated: March 7, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. John Boone Roberson Sr. NPPES

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

DR. JOHN BOONE ROBERSON SR. (NPI 1871607812) is an individual oral and maxillofacial surgery provider in Hattiesburg, Mississippi, licensed in Mississippi (274693) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1871607812
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOHN BOONE ROBERSON SR.
Location Address811 SOUTH 28TH AVENUEHattiesburg, MS 39402
Mailing Address811 South 28th AvenueHattiesburg, MS 39402 · (601) 261-2611 · Fax (601) 261-2711
Fax(601) 261-2711
Sole ProprietorNo
Enumeration DateAugust 18, 2006
Last NPPES UpdateMarch 7, 2012
NPI 1871607812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in MS · 274693
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

811 SOUTH 28TH AVENUE, Hattiesburg, MS 39402

Other Identifiers 2

Medicaid00660451MS
Medicaid01951327MS

Medicare Participation & PECOS Enrollment Status

John Roberson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 39402 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $80.5
  • Minimum New Patient Price $51.65
  • Maximum New Patient Price $159.18
  • Average New Patient Copayment $20.12
  • Minimum New Patient Copayment $12.91
  • Maximum New Patient Copayment $39.79

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $64.96
  • Minimum Established Patient Price $16.15
  • Maximum Established Patient Price $129.61
  • Average Established Patient Copayment $16.24
  • Minimum Established Patient Copayment $4.03
  • Maximum Established Patient Copayment $32.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. JOHN BOONE ROBERSON SR.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871607812, enumerated as an "individual" on August 18, 2006.

The provider is located at 811 SOUTH 28TH AVENUE HATTIESBURG, MS 39402 and the phone number is (601) 261-2611.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.