Guy D Roberts, D.O.
Individual provider Active NPI Family Medicine Physician · Farmington, MO
NPI 1528085156 · NPPES record last updated Sep 16, 2013
Key facts
- NPI
- 1528085156
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 1999134570 (MO)
- Practice address
- 555 W Pine St
Farmington, MO 63640-1426 - Phone
- (573) 747-1510
- Fax
- (573) 747-1512
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 14
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Midwest Health Group, LLC
Mercy Clinic East Communities
Practice addresses (Care Compare)
555 W Pine St
Farmington, MO 63640-1439
Phone (573) 474-1510
851 E 5TH St
Washington, MO 63090-3130
Hospital & facility affiliations
- Elara Caring
- Centerwell Home Health
- BJC Home Care Services
- Gentiva
- Alternative Hospice, LLC
- Serenity Hospicecare
- Parkland Health Center
- Mercy Hospital Jefferson
- Northwestern Medicine Central Dupage Hospital
- Parkland Health Center - Bonne Terre
- Missouri Baptist Medical Center
- St Joe Manor
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.62 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 75
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| St Joe Manor |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Feb 1, 2020 Sep 11, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070920000044 | MO | Practitioner - Family Practice |
8022102193 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1999134570 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Current |
Accepting new patients | |
| Mercy Clinic East Communities | Family Medicine | Current | Accepting new patients |
| Iron County Hospital District | Current | Accepting new patients | |
| Mercy Clinic East Communities | Family Medicine | Current |
Accepting new patients |
| Midwest Health Group, LLC | Current | Accepting new patients | |
| Midwest Health Group Convenient Care, LLC | Past | Accepting new patients | |
| Missouri Nursing Home & Rehab LLC | Past | Accepting new patients | |
| Shepherd Mountain Emergency Physicians | Past | Accepting new patients | |
| Country Meadows Nursing & Rehab LLC | Past | Accepting new patients | |
| BC Missouri Emergency Physicians, LLP | Past | Accepting new patients | |
| Physician Groups LC | Family Medicine | Past | Accepting new patients |
| American Nursing & Rehab LLC | Past | Accepting new patients | |
| BC Missouri Emergency Physicians, LLP | Past | Accepting new patients | |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
| Inpatient Consultants of Missouri Inc | Past | Accepting new patients | |
| Camelot Healthcare, LLC | Past | Accepting new patients | |
| Midwest Health Group Convenient Care, LLC | Past | Accepting new patients |
Locations
55 Nesbit Dr
Bonne Terre, MO 63628
Phone (573) 358-1700
508 W Pine St
Farmington, MO 63640
Phone (573) 664-1100
555 W Pine St
Ste 300
Farmington, MO 63640
Phone (573) 747-1510
555 W Pine St
Farmington, MO 63640
Phone (573) 474-1510
621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335
615 S New Ballas Rd
#C
Saint Louis, MO 63141
Phone (314) 569-6000
851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1999134570 | MO | Yes |
Addresses
Primary practice location
555 W Pine St
Farmington, MO 63640-1426
Mailing address
555 W Pine St
Farmington, MO 63640-1426
Phone (573) 747-1510
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 504600800 | Medicaid | MO |
Other providers in Farmington, MO
- Edward T Rinda
- Deirdre Ring
- Natoshia Rivera
- Dirk E Roberts
- Gerald D Roberts
- Joshua Allan Roberts
- Justin W. Roberts
- George Okey Robertson
- Deborah Lavaughn Robinson
- Brittany N. Rogers
All providers in Farmington, MO · Family Medicine 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 Sep 16, 2013. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.