MATTHEW DALE ROBERSON DC
NPI 1962397257
Chiropractor in Tyler, TX
About Matthew Dale Roberson Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW DALE ROBERSON DC (NPI 1962397257) is an individual chiropractor in Tyler, Texas, licensed in Texas (14307) and active in the NPI registry since June 2025. He is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Matthew Dale Roberson Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Matthew Roberson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tyler, TX 75701
- Reassigned Medicare billing, Texas enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Matthew Roberson's NPI number?
The NPI number for Matthew Roberson is 1962397257. It was assigned to this individual provider in the NPPES registry on June 9, 2025.
Where is Matthew Roberson located?
Matthew Roberson practices at 310 W Rusk St, Tyler, TX 75701. The listed phone number is (903) 515-5535.
What is Matthew Roberson's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Matthew Roberson enrolled in Medicare?
Yes. Matthew Roberson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Matthew Roberson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Roberson reassigns Medicare benefits to Roberson Chiropractic PLLC (Tyler, TX). 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 Matthew Roberson'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 Matthew Roberson was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Matthew Dale Roberson, DC · NPI 1962397257
Chiropractor provider in Tyler, Texas. Individual provider, active in the CMS NPPES registry since June 9, 2025.
## Identity
- **NPI:** 1962397257 (Entity type: Individual)
- **Enumerated:** June 9, 2025
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 14307 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 310 W RUSK ST, Tyler, TX 75701-1513
- **Phone:** (903) 515-5535
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Roberson Chiropractic PLLC (NPI 1013882992, Tyler, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962397257) · Data from the CMS NPPES public registry.