Active NPI 1700856044 Individual Practitioner Male Practitioner

Dr. John Mark Roberts , MD

Orthopaedic Surgery • Cincinnati, OH

Professional Overview & Biography Verified Profile Summary

Dr. John Roberts, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Cincinnati, OH. Practice services are available at 9250 BLUE ASH RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of lower and sacral spine, 2-3 views, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9250 Blue Ash Rd

Cincinnati, OH 452426822

Telephone 5137927445

Fax 5137914042

Associated Practice Facility / Clinic

🏢 Cincinnati Spine Institute Llc Facility NPI 1619910809

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Cincinnati, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.5 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

102 Specialists

Practicing in Cincinnati, OH (984 Statewide)

Telehealth Adoption Rate

2.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.3% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	104	76	$182.00	$85.51
72100 X-ray of lower and sacral spine, 2-3 views	98	74	$90.00	$36.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$402.00	$158.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
72100 X-ray of lower and sacral spine, 2-3 views	208	179	$90.00	$37.92
99213 Established patient office or other outpatient visit, typically 15 minutes	181	124	$182.00	$86.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$402.00	$161.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$262.00	$108.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$356.00	$173.89
22612 Fusion of spine in lower back	15	15	$4036.00	$1576.19
61783 Computer-assisted spinal procedure	14	14	$599.00	$232.03
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	11	11	$2794.00	$651.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
72100 X-ray of lower and sacral spine, 2-3 views	240	201	$90.00	$38.12
99213 Established patient office or other outpatient visit, typically 15 minutes	178	133	$182.00	$87.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	125	125	$402.00	$162.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	48	$264.00	$125.41
22612 Fusion of spine in lower back	12	12	$4036.00	$1606.17
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	11	11	$2794.00	$632.91
61783 Computer-assisted spinal procedure	11	11	$599.00	$236.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
72100 X-ray of lower and sacral spine, 2-3 views	297	248	$90.00	$37.97
99213 Established patient office or other outpatient visit, typically 15 minutes	243	166	$182.00	$88.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	215	215	$402.00	$164.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	32	$264.00	$125.31
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	32	11	$665.00	$265.33
22614 Fusion of additional segment of spine	31	18	$1006.00	$401.41
22612 Fusion of spine in lower back	24	24	$4036.00	$1617.60
63048 Partial removal of spine bone with release of spinal cord and/or nerves	24	14	$542.00	$216.79
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	24	24	$2794.00	$667.99
61783 Computer-assisted spinal procedure	24	24	$599.00	$238.73
22842 Placement of stabilizing device to back, 3-6 spine bone segments	19	19	$1962.00	$782.11
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	11	11	$3899.00	$487.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
72100 X-ray of lower and sacral spine, 2-3 views	235	199	$89.11	$35.87
99213 Established patient office or other outpatient visit, typically 15 minutes	234	162	$158.44	$73.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	132	132	$375.29	$162.03
22614 Fusion of additional segment of spine	19	11	$1003.16	$336.50
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	17	16	$2802.47	$712.36
61783 Computer-assisted spinal procedure	15	15	$602.20	$216.03
22612 Fusion of spine in lower back	15	15	$4044.40	$1451.73
22842 Placement of stabilizing device to back, 3-6 spine bone segments	11	11	$1956.55	$677.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
72100 X-ray of lower and sacral spine, 2-3 views	383	311	$85.85	$32.97
99213 Established patient office or other outpatient visit, typically 15 minutes	350	233	$130.00	$71.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	199	199	$320.00	$156.64
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	40	40	$2810.00	$763.92
63048 Partial removal of spine bone with release of spinal cord and/or nerves	37	21	$545.00	$214.08
22614 Fusion of additional segment of spine	35	20	$1000.00	$402.22
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	32	14	$675.00	$265.91
22612 Fusion of spine in lower back	27	27	$4050.00	$1610.92
61783 Computer-assisted spinal procedure	26	26	$605.00	$239.77
20937 Harvest of bone fragment for spine bone graft	24	24	$425.00	$171.76
22842 Placement of stabilizing device to back, 3-6 spine bone segments	20	20	$1950.00	$786.13
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	12	12	$3905.00	$486.89
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	11	11	$2460.00	$893.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	326	226	$130.00	$69.90
72100 X-ray of lower and sacral spine, 2-3 views	285	224	$88.21	$32.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	170	170	$320.00	$157.31
22614 Fusion of additional segment of spine	45	24	$1000.00	$396.11
72120 X-ray lower and sacral spine including bending views 2 or 3 views	38	38	$105.00	$38.13
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	28	28	$2810.00	$863.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$190.00	$103.84
63048 Partial removal of spine bone with release of spinal cord and/or nerves	26	18	$545.00	$214.19
22612 Fusion of spine in lower back	25	25	$4050.00	$1593.01
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	24	11	$675.00	$252.45
61783 Computer-assisted spinal procedure	23	23	$605.00	$236.29
22842 Placement of stabilizing device to back, 3-6 spine bone segments	22	22	$1950.00	$773.17
20937 Harvest of bone fragment for spine bone graft	20	20	$425.00	$169.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$70.00	$39.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	371	240	$130.00	$69.24
72100 X-ray of lower and sacral spine, 2-3 views	173	99	$89.13	$31.68
72120 X-ray lower and sacral spine including bending views 2 or 3 views	145	145	$104.79	$37.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	142	142	$190.00	$102.46
22614 Fusion of additional segment of spine	62	29	$1000.00	$376.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$320.00	$152.86
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	38	14	$675.00	$236.10
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	37	37	$2810.00	$756.25
22612 Fusion of spine in lower back	33	33	$4050.00	$1534.35
61783 Computer-assisted spinal procedure	31	31	$605.00	$228.41
20937 Harvest of bone fragment for spine bone graft	31	31	$425.00	$163.57
22842 Placement of stabilizing device to back, 3-6 spine bone segments	28	28	$1950.00	$743.99
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	25	14	$860.00	$182.54
63048 Partial removal of spine bone with release of spinal cord and/or nerves	24	16	$545.00	$213.72
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	19	19	$2589.47	$735.70
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	14	14	$3905.00	$478.93

Medical Specialties & State Licenses

CMS Verified: 2020-10-21

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OH 35.051646

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0591926 (OH)

Commercial Insurance / Payer ID Anthem

791945 (OH)

Commercial Insurance / Payer ID Railroad Medicare

P01191329 (OH)

Commercial Insurance / Payer ID Caresource

272352575061 (OH)

Commercial Insurance / Payer ID Multiplan

272352575 (OH)

Commercial Insurance / Payer ID Wellcare

724121 (OH)

Commercial Insurance / Payer ID Medicare

H165860 (OH)

Commercial Insurance / Payer ID Buckeye

P10000903007 (OH)

Commercial Insurance / Payer ID Aetna

4026453 (OH)

Practice Associates & Co-Workers

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

20 Associated Practitioners

Lauren Smith , ACNP-BC

Nurse Practitioner - Acute Care

NPI 1003066960

ACNPBC

Connie Seeskin , NP

Nurse Practitioner - Acute Care

NPI 1033145248

Nurse Practitioner

Dr. Michael Kramer , MD

Neurological Surgery

NPI 1053351783

Doctor of Medicine (M.D.)

Dr. Rachel Heberling , MD

Physical Medicine & Rehabilitation

NPI 1083833305

Doctor of Medicine (M.D.)

David Brodbeck , PA-C

Physician Assistant - Surgical

NPI 1114069994

Physician Assistant (Certified)

Nicholas Godby

Physical Medicine & Rehabilitation

NPI 1174775464

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active September 22, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 22, 2017

Registered at 9250 BLUE ASH RD, CINCINNATI, OH 452426822 (Tel: 5137927445)

📍

Updated Business Mailing Address September 22, 2017

Registered at 237 WILLIAM HOWARD TAFT, PHYS DIV, 2ND FL, CBO2-3, ATTN: CREDENTIALING, CINCINNATI, OH 452192906 (Tel: 5137927445)

👤

Provider Name / Credentials Updated September 22, 2017

Recorded as JOHN ROBERTS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2017

Orthopaedic Surgery (License #35.051646 in OH)

✅

NPI Profile Active February 12, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 12, 2015

Registered at 9250 BLUE ASH RD, CINCINNATI, OH 452426822 (Tel: 5137927445)

📍

Updated Business Mailing Address February 12, 2015

Registered at 237 WILLIAM HOWARD TAFT, PHYS DIV, 2ND FL, CBO2-3, ATTN: CREDENTIALING, CINCINNATI, OH 452192906 (Tel: 5132638571)

👤

Provider Name / Credentials Updated February 12, 2015

Recorded as JOHN ROBERTS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2015

Specialist (License #35 05 1646 in OH)

🟢

Initial NPI Registration & Enumeration January 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1700856044

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 26, 2006

Last Update: October 21, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

237 William Howard Taft, Phys Div, 2nd Fl, Cbo2-3, Attn: Credentialing

Cincinnati, OH 452192906

Phone: 5137927445

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.