John Mose Roberts Jr., M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

DR.0054821 Issued in CO

Practice address

9320 Grand Cordera Parkway
Suite 255
Colorado Springs, CO 80924-7021

Phone

(719) 258-1240

Fax

(719) 282-1247

NPI assigned

Jun 25, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Loyola University of Chicago, Stritch School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Springs Eye Clinic PCGroup PAC ID 6901798438, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.42 of 100Reported as individual

Quality

99.19

Improvement activities

40

Cost

65.81

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
• CO HMO D-SNP
• CO HMO

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Colorado Springs Eye Clinic PC

  • Ophthalmology Physician
  • Colorado Springs, CO
  • NPI 1033147004
  Medicare reassignment Care Compare group NPD
• Lincoln Community Hospital

  • Critical Access Hospital
  • Hugo, CO
  • NPI 1720107519
  NPD (past)
• Kovach Eye Institute, LTD

  • Ophthalmology Physician
  • Elmhurst, IL
  • NPI 1669498267
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1023270733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 GRAND CORDERAL PARKWAY",
            "address_2": "SUITE 255",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247021",
            "telephone_number": "719-258-1240",
            "fax_number": "719-282-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 GRAND CORDERA PARKWAY",
            "address_2": "SUITE 255",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247021",
            "telephone_number": "719-258-1240",
            "fax_number": "719-282-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JOHN",
        "middle_name": "MOSE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "DR.0054821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56571747",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Crawford Roberts, MA
• Jemari Anthony Roberts, PA-C
• Jennie Roberts
• Jennifer Leigh Roberts
• Joel Roberts, MA, LPC, NCC
• Kalyn Roberts
• Karrine Roberts, PHARMD
• Katherine Elyse Roberts
• Keith Eugene Roberts, LMT, CD(DONA)
• Mary K Roberts, RPT

• Ophthalmology Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Ophthalmology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.