1. Home
  2. Directory
  3. Ohio
  4. Wilmington
  5. Surgery
  6. NPI Profile

NATHAN J ROBERTS MD
NPI 1972884757
Surgery in Wilmington, OH

Active since September 07, 2011PECOS EnrolledAccepts Medicare Assignment
610 W MAIN ST, WILMINGTON, OH 45177(937) 382-6611 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 29, 2021, Sep 1, 2016 (2 updates tracked since 2016).

About Nathan J Roberts Md NPPES

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

NATHAN J ROBERTS MD (NPI 1972884757) is an individual surgery provider in Wilmington, Ohio, licensed in Illinois (036140792) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, is affiliated with Clinton Memorial Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1972884757
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameNATHAN J ROBERTSCredential: MD
Location Address610 W MAIN STWilmington, OH 45177-2125
Mailing Address610 W Main StWilmington, OH 45177-2125 · (937) 382-6611
Phone(937) 382-6611
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 7, 2011
Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration
NPPES CertifiedNovember 29, 2021
✔ NPI 1972884757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036140792
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
610 W MAIN ST, Wilmington, OH 45177
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.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

Nathan J Roberts Md 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 ID7012201064
PECOS Enrollment IDI20171010000705
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 3

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.

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.
22 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
17 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Clinton Memorial Hospital

Acute Care Hospitals · Wilmington, OH
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360175
Location610 West Main StreetWilmington, OH 45177 · Clinton County
Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45177 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
82%146 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%884 patients5/55-star benchmark: 100%
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.
97%230 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
9%165 patients1/55-star benchmark: 88%
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.
100%374 patients5/55-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.
59%521 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
27%431 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 77 patients
66%53 patients3/55-star benchmark: 98%
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…
70%521 patients3/55-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…
17%521 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.
24%521 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.

MATTHEW PATEL M.D.
Emergency Medicine
610 W MAIN ST
WILMINGTON, OH 45177
Clinton County (937) 383-1040
BAMBOO SHARK EMERGENCY PHYSICIANS LLC
Emergency Medicine
610 W MAIN ST
WILMINGTON, OH 45177
Clinton County (469) 401-2386
RCHP-WILMINGTON, LLC
General Acute Care Hospital
610 W MAIN ST, ATTN: FACILITY CEO
WILMINGTON, OH 45177
Clinton County (937) 382-6611
RCHP-WILMINGTON, LLC
Emergency Medicine
610 W MAIN ST
WILMINGTON, OH 45177
Clinton County (937) 283-9845
BANDED KILLIFISH INPATIENT SERVICES LLC
Internal Medicine
610 W MAIN ST
WILMINGTON, OH 45177
Clinton County (469) 401-2386
DR. DUSTIN G LEWIS PHARMD, RPH
Pharmacist
610 W MAIN ST
WILMINGTON, OH 45177
Clinton County (937) 283-9725
EMERGENCY PHYSICIAN ASSOCIATES OF OHIO, INC
Emergency Medicine
610 W MAIN ST
WILMINGTON, OH 45177
Clinton County (937) 382-6611
WALTER W. TIMPERMAN JR. M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
610 W MAIN ST, CLINTON CO. MEMORIAL HOSPITAL PATH DEPT
WILMINGTON, OH 45177
Clinton County (937) 382-9262

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 Nathan Roberts's NPI number?

The NPI number for Nathan Roberts is 1972884757. It was assigned to this individual provider in the NPPES registry on September 7, 2011.

Where is Nathan Roberts located?

Nathan Roberts practices at 610 W Main St, Wilmington, OH 45177. The listed phone number is (937) 382-6611.

What is Nathan Roberts's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nathan Roberts enrolled in Medicare?

Yes. Nathan 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 Nathan Roberts accept?

Health plans from CareSource and UnitedHealthcare list Nathan 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.

Is Nathan Roberts affiliated with any hospitals?

According to CMS data, Nathan Roberts is affiliated with Clinton Memorial Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Nathan Roberts was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.