JOHN ROBERTSON M D FAMILY MEDICINE PLLC
NPI 1992427736
Family Medicine in New York Mills, NY
About John Robertson M D Family Medicine Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN ROBERTSON M D FAMILY MEDICINE PLLC (NPI 1992427736), doing business as Anchor Family Medicine, is a healthcare organization registered as a family medicine in New York Mills, New York and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through September 15, 2028 and lists John S Robertson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Robertson M D Family Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to John Robertson M D Family Medicine PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D2311059
John Robertson MD Family Medicine PLLC Anchor Family Medicine · New York Mills, NYFrequently 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 John Robertson M D Family Medicine PLLC's NPI number?
The NPI number for John Robertson M D Family Medicine PLLC is 1992427736. It was assigned to this organization in the NPPES registry on September 19, 2022. The provider is doing business as Anchor Family Medicine.
Where is John Robertson M D Family Medicine PLLC located?
John Robertson M D Family Medicine PLLC is located at 587 Main St Ste 104, New York Mills, NY 13417. The listed phone number is (315) 732-9368.
What is John Robertson M D Family Medicine PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Robertson M D Family Medicine PLLC enrolled in Medicare?
Yes. John Robertson M D Family Medicine PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through John Robertson M D Family Medicine PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to John Robertson M D Family Medicine PLLC, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does John Robertson M D Family Medicine PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2311059) is associated with this NPI, valid through September 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for John Robertson M D Family Medicine PLLC was last updated on September 19, 2022. 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.
# John Robertson M D Family Medicine Pllc · NPI 1992427736
Family Medicine organization in New York Mills, New York. Organization record, active in the CMS NPPES registry since September 19, 2022.
## Identity
- **NPI:** 1992427736 (Entity type: Organization)
- **Enumerated:** September 19, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Anchor Family Medicine (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** John Robertson, OWNER
## Practice location
- **Address:** 587 MAIN ST STE 104, New York Mills, NY 13417-1490
- **Phone:** (315) 732-9368
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 19, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1992427736) · Data from the CMS NPPES public registry.