CONNOR JAMES ROBERTS MD
NPI 1992201453
Family Medicine in Howard, WI

Active since April 03, 2018PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
2793 LINEVILLE RD, HOWARD, WI 54313(920) 496-4700 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 26, 2021, Jun 30, 2021 (2 updates tracked since 2021).

About Connor James Roberts Md NPPES

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

CONNOR JAMES ROBERTS MD (NPI 1992201453) is an individual family medicine provider in Howard, Wisconsin, licensed in Wisconsin (72544-20) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1992201453
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCONNOR JAMES ROBERTSCredential: MD
Location Address2793 LINEVILLE RDHoward, WI 54313-7152
Mailing Address2731 Main AveKaukauna, WI 54130-3543 · (920) 213-6775
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 3, 2018
Last NPPES UpdateJuly 26, 20212 updates tracked since enumeration
NPPES CertifiedJuly 26, 2021
NPI 1992201453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 72544-20
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2793 LINEVILLE RD, Howard, WI 54313

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

Connor James 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 ID7416371265
PECOS Enrollment IDI20210804000027
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 12

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
183 services113 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.
167 services101 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.
73 services59 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
42 services37 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
31 services31 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54313 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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.

Pediatrics
2793 LINEVILLE RD
GREEN BAY, WI 54313
Internal Medicine
2793 LINEVILLE RD
GREEN BAY, WI 54313
Pediatrics
2793 LINEVILLE RD
GREEN BAY, WI 54313
Internal Medicine
2793 LINEVILLE RD
GREEN BAY, WI 54313
Pediatrics
2793 LINEVILLE RD
GREEN BAY, WI 54313
Optometrist
2793 LINEVILLE RD
GREEN BAY, WI 54313
Podiatrist
2793 LINEVILLE RD
GREEN BAY, WI 54313
Pediatrics (Pediatric Allergy/Immunology)
2793 LINEVILLE RD
GREEN BAY, WI 54313

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 Connor Roberts's NPI number?

The NPI number for Connor Roberts is 1992201453. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Connor Roberts located?

Connor Roberts practices at 2793 Lineville Rd, Howard, WI 54313. The listed phone number is (920) 496-4700.

What is Connor Roberts's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Connor Roberts enrolled in Medicare?

Yes. Connor 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 Connor Roberts accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Security Health Plan list Connor 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 Connor Roberts affiliated with any hospitals?

According to CMS data, Connor Roberts is affiliated with St Vincent Hospital and St Mary's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Connor Roberts was last updated on July 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.