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MS. ROBERTA L PICKETT M.D.
NPI 1902919111
Pediatrics in Eastvale, CA

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment
12742 LIMONITE AVENUE, EASTVALE, CA 92880(951) 739-2710(951) 371-6587 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Roberta L Pickett M.d. NPPES

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

MS. ROBERTA L PICKETT M.D. (NPI 1902919111) is an individual pediatrics provider in Eastvale, California, licensed in California (A81828) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2001).

NPPES Registry Identity

NPI1902919111
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMS. ROBERTA L PICKETTCredential: M.D.
Location Address12742 LIMONITE AVENUEEastvale, CA 92880
Mailing Address12742 Limonite AveEastvale, CA 92880-9630 · (951) 739-2710 · Fax (951) 371-6587
Phone(951) 739-2710
Fax(951) 371-6587
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2001
Enumeration DateAugust 15, 2006
Last NPPES UpdateApril 14, 2025
NPPES CertifiedApril 14, 2025
✔ NPI 1902919111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A81828
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.
12742 LIMONITE AVENUE, Eastvale, CA 92880
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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 and accepts Medicare assignment

Ms. Roberta L Pickett 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 ID446258529
PECOS Enrollment IDI20061128000374
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 Roberta Pickett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Riverside Medical Clinic, Inc
Same address
Family Medicine
12742 LIMONITE AVE
Eastvale, CA 92880
  • Reassigned Medicare billing, California enrollment
  • 349 clinicians in this Medicare group
NPI 1972845535 (951) 683-6370

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 92880 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 Roberta Pickett's NPI number?

The NPI number for Roberta Pickett is 1902919111. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Roberta Pickett located?

Roberta Pickett practices at 12742 Limonite Avenue, Eastvale, CA 92880. The listed phone number is (951) 739-2710.

What is Roberta Pickett's specialty?

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

Is Roberta Pickett enrolled in Medicare?

Yes. Roberta Pickett 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.

Which organization bills Medicare for Roberta Pickett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roberta Pickett reassigns Medicare benefits to Riverside Medical Clinic, Inc (Eastvale, CA). 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 Roberta Pickett'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 Roberta Pickett was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.