Individual provider Active NPI

Scott C Roberts, MD

  • Orthopaedic Surgery Physician
  • Petersburg, WV
National Provider Identifier
1730390782
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
23810 Issued in WV
Practice address
10 Mulligan Dr
Petersburg, WV 26847-1000
Phone
(304) 257-5013
Fax
(304) 257-5168
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 23810 WV Primary

Addresses

Primary practice location

10 Mulligan Dr
Petersburg, WV 26847-1000

Mailing address

PO Box 1019
Petersburg, WV 26847-1019
Phone (304) 257-1026

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scott.roberts@gmhoc.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20120911000565 WV Practitioner - Orthopedic Surgery 6204084593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
West Virginia University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grant Memorial Hospital IncGroup PAC ID 4183082712, 38 clinicians

Practice addresses (Care Compare)

10 Mulligan Dr
Petersburg, WV 26847-1000
Phone (304) 257-5013

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grant Memorial Hospital CurrentSince Mar 3, 2015 Accepting new patients
Grant Memorial Hospital Inc CurrentSince Jul 1, 2023 Accepting new patients
Grant Memorial Hospital Inc Orthopaedic Surgery CurrentSince Jul 1, 2023 Accepting new patients
Grant Memorial Hospital CurrentSince Mar 3, 2015 Accepting new patients

Locations

10 Mulligan Dr
Petersburg, WV 26847
Phone (304) 257-2451

10 Valley St
Ste 101
Petersburg, WV 26847
Phone (304) 257-2152

65 Hospital Dr
Ste 107
Petersburg, WV 26847
Phone (304) 257-1407

117 Hospital Dr
Petersburg, WV 26847
Phone 30497450009312

Interoperability endpoints

  • Direct secure messaging: phys_scott_c_roberts@yourcarecommunity.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1730390782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1019",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268471019",
            "telephone_number": "304-257-1026",
            "fax_number": "304-257-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MULLIGAN DR",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268471000",
            "telephone_number": "304-257-5013",
            "fax_number": "304-257-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SCOTT",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WV",
            "license": "23810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scott.roberts@gmhoc.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10 Mulligan Dr",
            "city": "Petersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "268471000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Petersburg, WV

Sources for this page

Verify at the official NPI Registry.