BENJAMIN ROBY PA-C
NPI 1942733480
Physician Assistant - Medical in Gainesville, GA

Active since April 11, 2017PECOS EnrolledAccepts Medicare Assignment
85.55/100
CMS Quality Rating
1240 JESSE JEWELL PKWY SE, STE 300, GAINESVILLE, GA 30501(770) 534-7200 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2022, Jun 16, 2018, Mar 17, 2018 and 3 more (6 updates tracked since 2017).

About Benjamin Roby Pa-c NPPES

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

BENJAMIN ROBY PA-C (NPI 1942733480) is an individual medical provider in Gainesville, Georgia, licensed in Georgia (8345) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1942733480
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameBENJAMIN ROBYCredential: PA-C
Location Address1240 JESSE JEWELL PKWY SE, STE 300Gainesville, GA 30501-3861
Mailing Address1240 Jesse Jewell Pkwy Se, Ste 300Gainesville, GA 30501-3861 · (770) 534-7200
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 11, 2017
Last NPPES UpdateSeptember 28, 20236 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2023
NPI 1942733480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in GA · 8345
1240 JESSE JEWELL PKWY SE, Gainesville, GA 30501

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

Benjamin Roby Pa-c 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 ID1456624592
PECOS Enrollment IDI20170912000564
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 19

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.

Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg J7320
Genvisc 850 is an injection containing hyaluronan, a substance naturally found in your joints. It helps to lubricate and cushion your joints. This treatment is used to relieve knee pain due to osteoarthritis when other treatments have not worked.
1,601 services22 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,166 services166 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.
358 services203 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.
328 services240 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
248 services151 patients
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.
157 services135 patients

Hospital Affiliations CMS Care Compare

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability83
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
91%2,280 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%240 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
43%519 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%519 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%519 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
29%519 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Family Medicine
1240 JESSE JEWELL PKWY SE, SUITE 370
GAINESVILLE, GA 30501
Internal Medicine
1240 JESSE JEWELL PKWY SE, SUITE 500
GAINESVILLE, GA 30501
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1240 JESSE JEWELL PKWY SE, STE 500
GAINESVILLE, GA 30501
Internal Medicine (Pulmonary Disease)
1240 JESSE JEWELL PKWY SE, SUITE 500
GAINESVILLE, GA 30501
Urology
1240 JESSE JEWELL PKWY SE, STE 200
GAINESVILLE, GA 30501
Internal Medicine
1240 JESSE JEWELL PKWY SE, SUITE 500
GAINESVILLE, GA 30501
Orthopaedic Surgery
1240 JESSE JEWELL PKWY SE, SUITE 300
GAINESVILLE, GA 30501
Internal Medicine
1240 JESSE JEWELL PKWY SE, STE 500
GAINESVILLE, GA 30501

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 Benjamin Roby's NPI number?

The NPI number for Benjamin Roby is 1942733480. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Where is Benjamin Roby located?

Benjamin Roby practices at 1240 Jesse Jewell Pkwy SE Ste 300, Gainesville, GA 30501. The listed phone number is (770) 534-7200.

What is Benjamin Roby's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Benjamin Roby enrolled in Medicare?

Yes. Benjamin Roby 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 Benjamin Roby accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Benjamin Roby 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 Benjamin Roby affiliated with any hospitals?

According to CMS data, Benjamin Roby is affiliated with Northeast Georgia Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Benjamin Roby was last updated on September 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.