NPIMap

Individual provider Active NPI

Guy D Roberts, D.O.

  • Family Medicine Physician
  • Farmington, MO
National Provider Identifier
1528085156
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1999134570 Issued in MO
Practice address
555 W Pine St
Farmington, MO 63640-1426
Phone
(573) 747-1510
Fax
(573) 747-1512
NPI assigned
Jul 17, 2006
Last updated
Sep 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1999134570 MO Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070920000044 MO Practitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Emergency Medicine 8022102193 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine, Osteopathic Manipulative Medicine
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, LLCGroup PAC ID 7214021385, 4 clinicians
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
95.62 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities Family Medicine Current Accepting new patients
Mercy Clinic East Communities CurrentSince Sep 1, 2025 Accepting new patients
Iron County Hospital District Current Accepting new patients
Midwest Health Group, LLC Current Accepting new patients
Mercy Clinic East Communities Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Camelot Healthcare, LLC Past Accepting new patients
American Nursing & Rehab LLC Past Accepting new patients
Inpatient Consultants of Missouri Inc Past Accepting new patients
Midwest Health Group Convenient Care, LLC Past Accepting new patients
Physician Groups LC Family Medicine Past Accepting new patients
BC Missouri Emergency Physicians, LLP 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
Ozarks Medical Center Family Medicine Past Accepting new patients
Midwest Health Group Convenient Care, LLC Past Accepting new patients
BC Missouri Emergency Physicians, LLP 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
Farmington, MO 63640
Phone (573) 474-1510

555 W Pine St
Ste 300
Farmington, MO 63640
Phone (573) 747-1510

615 S New Ballas Rd
#C
Saint Louis, MO 63141
Phone (314) 569-6000

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Joe ManorBonne Terre, MO, CCN 265701 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2020
Sep 11, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 19

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

View all 19

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1528085156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W PINE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401426",
            "telephone_number": "573-747-1510",
            "fax_number": "573-747-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W PINE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401426",
            "telephone_number": "573-747-1510",
            "fax_number": "573-747-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "GUY",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "1999134570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

Verify at the official NPI Registry.