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Deactivated NPI 1174524342 Deactivated / Inactive NPI Male Practitioner

Dr. David C. Roble , MD

Specialist • St Charles, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Roble has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 10, 2005
NPI Deactivation Date November 13, 2017
Total Practice Duration ~12 Years of Practice (2005 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. David Roble, MD was a registered Specialist practicing in St Charles, IL. Throughout an active medical career spanning 12 years, Dr. Roble provided care at the practice location at 960 N 5TH AVE until profile deactivation on 2017-11-13.

Historical Medicare Part B clinical services included established patient outpatient office visit, subsequent nursing facility care with high level of medical decision making, per day, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

960 N 5th Ave
Suite B

St Charles, IL 601741205

Telephone 6305843029
Fax 6305840538
Associated Practice Facility / Clinic
🏢 David C. Roble, Mdsc Facility NPI 1194034116

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in St Charles, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.5 Yrs
State Avg: 38.5 Yrs
Regional Practice Density
12 Specialists

Practicing in St Charles, IL (1322 Statewide)

Telehealth Adoption Rate
8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
4.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
592 141 $154.18 $147.42
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
94 25 $142.79 $136.60
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
83 22 $97.40 $92.81
99306 Initial nursing facility visit, typically 45 minutes per day
20 20 $176.63 $169.29
99316 Nursing facility discharge management, more than 30 minutes
17 17 $112.49 $107.83

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IL 036044819

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. James Stough , MD

Obstetrics & Gynecology - Gynecology

NPI 1518974468

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 13, 2017

Record deactivated on November 13, 2017

NPI Profile Active July 27, 2010

NPI status registered as active in NPPES database

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Updated Practice Location July 27, 2010

Registered at 960 N 5TH AVE, SUITE B, ST CHARLES, IL 601741205 (Tel: 6305843029)

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Updated Business Mailing Address July 27, 2010

Registered at 960 N 5TH AVE, SUITE B, ST CHARLES, IL 601741205 (Tel: 6305843029)

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Provider Name / Credentials Updated July 27, 2010

Recorded as DAVID ROBLE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2010

Specialist (License #036044819 in IL)

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Initial NPI Registration & Enumeration August 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174524342
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2005
Last Update: July 27, 2010
Deactivation Date: November 13, 2017

Mailing Address

960 N 5th Ave, Suite B

St Charles, IL 601741205

Phone: 6305843029

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.