Timothy P Roberts, D.O.
Individual provider Active NPI Orthopaedic Surgery Physician · Lees Summit, MO
NPI 1326488495 · NPPES record last updated Dec 15, 2020
Key facts
- NPI
- 1326488495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 2013023011 (MO)
- Practice address
- 2861 NE Independence Ave Ste 201
Lees Summit, MO 64064-2379 - Phone
- (816) 525-2840
- Fax
- (816) 525-2841
- NPI assigned
- Jul 3, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Orthopedics and Sports Medicine
Practice addresses (Care Compare)
2861 NE Independence Ave
Suite 201
Lees Summit, MO 64064-2379
Phone (816) 525-2840
505 S Hospital Dr
Paola, KS 66071-1850
Phone (816) 525-2840
Hospital & facility affiliations
- Enhabit Home Health
- Saint Lukes Home Care
- Centerwell Home Health
- Centerwell Home Health
- Specialized Home Care
- Lee'S Summit Medical Center
- Saint Luke'S South Hospital
- St Lukes Hospital of Kansas City
- Kansas City Orthopaedic Institute
- Adventhealth Shawnee Mission
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 46 |
| Knee replacement | 92 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170825002399 | MO | Practitioner - Orthopedic Surgery | 3870865868 | Reassigns benefits to 1 organization |
| I20190116003345 | KS | Practitioner - Orthopedic Surgery | 3870865868 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013023011 | MO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Orthopedics and Sports Medicine | Orthopaedic Surgery | Current |
Accepting new patients |
| Advanced Orthopedics and Sports Medicine | Orthopaedic Surgery | Current |
Accepting new patients |
Locations
12330 Metcalf Ave
Ste 400
Overland Park, KS 66213
Phone (913) 317-7990
11340 Nall Ave
Ste 200
Overland Park, KS 66211
Phone (913) 354-5020
11340 Nall Ave
Ste 200A
Overland Park, KS 66211
Phone (816) 994-9300
505 S Hospital Dr
Paola, KS 66071
Phone (913) 232-9846
7201 E 147th St
Ste 120
Grandview, MO 64030
Phone (816) 425-3580
2861 NE Independence Ave
Ste 201
Lees Summit, MO 64064
Phone (660) 281-8118
2000 SE Blue Pkwy
Ste 230
Lees Summit, MO 64063
Phone (816) 607-2900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 2013023011 | MO | Yes |
Addresses
Primary practice location
2861 NE Independence Ave Ste 201
Lees Summit, MO 64064-2379
Mailing address
2861 NE Independence Ave Ste 201
Lees Summit, MO 64064-2379
Phone (816) 525-2840
Other practice location 1
12330 Metcalf Ave Ste 400
Overland Park, KS 66213-1307
Phone (816) 525-2840
Other providers in Lees Summit, MO
- Lexi P Roberson
- Robert a Bondi
- Kathryn S Roberts
- Kylea Raye Roberts
- Megan Roberts
- Sarah Najette Robertson
- Jessie Lyne Robinette
- Adrian Robinson
- Allison Marie Jesse Robinson
- Brennan Jay Robinson
All providers in Lees Summit, MO · Orthopaedic Surgery Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.