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SHAWN ROBERTSON
NPI 1962880047
Emergency Medicine in Villa Park, IL

Active since May 11, 2015PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
45 N PRINCETON AVE, VILLA PARK, IL 60181(630) 779-9973 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shawn Robertson NPPES

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

SHAWN ROBERTSON (NPI 1962880047) is an individual emergency medicine provider in Villa Park, Illinois, licensed in Illinois (036153722) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Paris Community Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2015).

NPPES Registry Identity

NPI1962880047
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSHAWN ROBERTSON
Location Address45 N PRINCETON AVEVilla Park, IL 60181-2336
Mailing Address45 N Princeton AveVilla Park, IL 60181-2336 · (630) 779-9973
Phone(630) 779-9973
Sole ProprietorYes
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2015
Enumeration DateMay 11, 2015
Last NPPES UpdateSeptember 9, 2020
NPPES CertifiedSeptember 9, 2020
✔ NPI 1962880047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 036153722
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
45 N PRINCETON AVE, Villa Park, IL 60181
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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

Shawn Robertson 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 ID1759679202
PECOS Enrollment IDI20200916000653
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 Reassignments

4

Medicare enrollment records show Shawn Robertson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospital & Medical Foundation Of Paris, Inc.
145 mi
Rural Health
112 W MADISON AVE
Chrisman, IL 61924
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1679502322 (Illinois)
  • 216 clinicians in this Medicare group
NPI 1447314653 (217) 269-2394
Midwest Emergency Anderson Health, Inc
220 mi
Emergency Medicine
400 N CALDWELL ST
Staunton, IL 62088
  • Reassigned Medicare billing, Illinois enrollment
  • 121 clinicians in this Medicare group
NPI 1710647615 (618) 635-2200
Midwest Inpatient Anderson Health, Inc
241 mi
Emergency Medicine
6800 IL 162
Maryville, IL 62062
  • Reassigned Medicare billing, Illinois enrollment
  • 124 clinicians in this Medicare group
NPI 1821758608 (618) 288-5711
Emergency Medicine Associates P.A., P.C.
578 mi
Internal Medicine
501 SUNSET LN
Culpeper, VA 22701
  • Reassigned Medicare billing, Virginia enrollment
  • 1,294 clinicians in this Medicare group
NPI 1881559102 (540) 829-4100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Paris Community Hospital

Critical Access Hospitals · Paris, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141320
Location721 E Court StreetParis, IL 61944 · Edgar County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60181 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims15 services$19.92 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier25 claims25 services$114.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Shawn Robertson's NPI number?

The NPI number for Shawn Robertson is 1962880047. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Where is Shawn Robertson located?

Shawn Robertson practices at 45 N Princeton Ave, Villa Park, IL 60181. The listed phone number is (630) 779-9973.

What is Shawn Robertson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Shawn Robertson enrolled in Medicare?

Yes. Shawn Robertson 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 organizations bill Medicare for Shawn Robertson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Robertson reassigns Medicare benefits to 4 organizations: Hospital & Medical Foundation Of Paris, Inc. (Chrisman, IL), Midwest Emergency Anderson Health, Inc (Staunton, IL), Midwest Inpatient Anderson Health, Inc (Maryville, IL) and Emergency Medicine Associates P.A., P.C. (Culpeper, VA). Each 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 Shawn Robertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Shawn Robertson affiliated with any hospitals?

According to CMS data, Shawn Robertson is affiliated with Paris Community Hospital.

When was this NPI record last updated?

The NPPES record for Shawn Robertson was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.