DR. JADIE BOLTON ROBERTS OD
NPI 1952593311
Optometrist in Kilgore, TX

Active since August 09, 2007PECOS EnrolledAccepts Medicare Assignment
1100 STONE RD, SUITE 2020, KILGORE, TX 75662(903) 983-2020(903) 983-4000 Get Directions Write a Review

NPPES record last updated: August 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jadie Bolton Roberts Od NPPES

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

DR. JADIE BOLTON ROBERTS OD (NPI 1952593311) is an individual optometrist in Kilgore, Texas, licensed in Texas (7123T) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1952593311
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JADIE BOLTON ROBERTSCredential: OD
Location Address1100 STONE RD, SUITE 2020Kilgore, TX 75662-5482
Mailing AddressPo Box 8000Kilgore, TX 75663-8000 · (903) 983-2020 · Fax (903) 983-4000
Fax(903) 983-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 9, 2007
NPI 1952593311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in TX · 7123T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1100 STONE RD, Kilgore, TX 75662

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

Dr. Jadie Bolton Roberts Od 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 ID5890976971
PECOS Enrollment IDI20110222001129
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 6

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
369 services341 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
296 services295 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
109 services90 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
34 services34 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
13 services13 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75662 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1100 STONE RD, SUITE 2020
KILGORE, TX 75662
Dentist
1100 STONE RD, SUITE 265
KILGORE, TX 75662
Dentist (General Practice)
1100 STONE RD, SUITE 265
KILGORE, TX 75662
Counselor (Professional)
1100 STONE RD, SUITE 102
KILGORE, TX 75662
Optometrist (Corneal and Contact Management)
1100 STONE RD, SUITE 2020
KILGORE, TX 75662
Durable Medical Equipment & Medical Supplies
1100 STONE RD, SUITE 105
KILGORE, TX 75662
Chiropractor
1100 STONE RD, SUITE 269
KILGORE, TX 75662

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 Jadie Roberts's NPI number?

The NPI number for Jadie Roberts is 1952593311. It was assigned to this individual provider in the NPPES registry on August 9, 2007.

Where is Jadie Roberts located?

Jadie Roberts practices at 1100 Stone Rd Suite 2020, Kilgore, TX 75662. The listed phone number is (903) 983-2020.

What is Jadie Roberts's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jadie Roberts enrolled in Medicare?

Yes. Jadie Roberts 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 Jadie Roberts accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Jadie 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 Jadie Roberts was last updated on August 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.