Active NPI 1972884757 Individual Practitioner Male Practitioner

Dr. Nathan J Roberts , MD

Surgery • Wilmington, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nathan Roberts, MD is a certified Surgery practicing in Wilmington, OH. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Roberts delivers high-quality medical care to the local community at 610 W MAIN ST.

Dr. Roberts maintains professional affiliations with Trihealth H Llc, Wilmington Physicians Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

610 W Main St

Wilmington, OH 451772125

Telephone 9373826611

Associated Practice Facility / Clinic

🏢 Professional Emergency Specialists Of Southern Ohio Facility NPI 1356329890

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Wilmington, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -0.8 yrs vs City Avg

City Avg: 15.8 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Wilmington, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roberts (15 Years) 15 Yrs

Wilmington Specialty Average (15.8 Years) 15.8 Yrs

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	22	18	$150.00	$90.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$222.00	$110.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	15	$152.00	$70.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$222.00	$100.55
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$150.00	$80.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	13	$152.00	$76.95
45380 Biopsy of large bowel using an endoscope	14	14	$414.00	$160.78
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$83.00	$48.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$89.00	$51.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$222.00	$106.89
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	18	$83.00	$36.52
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$150.00	$87.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	15	$152.00	$69.94
47562 Removal of gallbladder using an endoscope	13	13	$1409.00	$610.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$89.00	$54.89
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$154.00	$70.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$340.00	$164.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$222.00	$109.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	26	$89.00	$54.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	20	$83.00	$37.67
99213 Established patient office or other outpatient visit, typically 15 minutes	28	20	$150.00	$89.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$340.00	$164.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	22	$83.00	$35.53
99213 Established patient office or other outpatient visit, typically 15 minutes	35	23	$150.00	$69.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$222.00	$105.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$335.10	$162.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	13	$89.00	$44.07
47562 Removal of gallbladder using an endoscope	12	12	$1409.00	$654.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$222.00	$100.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	22	$83.00	$38.52
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$213.00	$95.57
99213 Established patient office or other outpatient visit, typically 15 minutes	25	21	$150.00	$71.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	23	$89.00	$39.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$340.00	$158.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$288.00	$133.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$221.00	$97.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$222.00	$100.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	13	$83.00	$38.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$89.00	$39.36
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$213.00	$99.46
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$154.00	$72.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$340.00	$148.75
47562 Removal of gallbladder using an endoscope	12	12	$1409.00	$574.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$218.00	$103.42

Medical Specialties & State Licenses

CMS Verified: 2021-11-29

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036140792

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Trihealth H Llc

379 Dixmyth Ave, Cincinnati, OH 452202475

Phone: 5132467000

Trihealth H Llc

610 W Main St, Wilmington, OH 451772125

Phone: 9372832588

Trihealth H Llc

375 Dixmyth Ave, Cincinnati, OH 452202475

Wilmington Physicians Group Llc

849 Cherry St, Blanchester, OH 451071315

Phone: 9377834903

Trihealth H Llc

630 W Main St, Wilmington, OH 451772171

Practice Associates & Co-Workers

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

6 Associated Practitioners

Jamie Duck , PA-C

Physician Assistant

NPI 1356419428

Physician Assistant (Certified)

Dr. Farrukh Durrani , DO

Hospitalist

NPI 1568976264

Doctor of Osteopathic Medicine (D.O.)

Melinda Cole , ARNP

Nurse Practitioner - Acute Care

NPI 1770885337

Advanced Registered Nurse Practitioner

Benjamin Herendeen , PA-C

Physician Assistant

NPI 1780071696

Physician Assistant (Certified)

Kathleen Miller , NP

Nurse Practitioner

NPI 1841546975

Nurse Practitioner

Kyle Fenner , PA-C

Physician Assistant

NPI 1952858797

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location November 29, 2021

Registered at 610 W MAIN ST, WILMINGTON, OH 451772125 (Tel: 9373826611)

📍

Updated Business Mailing Address November 29, 2021

Registered at 610 W MAIN ST, WILMINGTON, OH 451772125 (Tel: 9373826611)

✅

NPI Profile Active September 01, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 01, 2016

Registered at 2160 S 1ST AVE, MAYWOOD, IL 601533328 (Tel: 7082169000)

📍

Updated Business Mailing Address September 01, 2016

Registered at 2160 S 1ST AVE, MAYWOOD, IL 601533328 (Tel: 7082169000)

👤

Provider Name / Credentials Updated September 01, 2016

Recorded as NATHAN ROBERTS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2016

Surgery (License #036140792 in IL)

🟢

Initial NPI Registration & Enumeration September 07, 2011

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: 1972884757

Entity Type:

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

Enumeration Date: September 07, 2011

Last Update: November 29, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

610 W Main St

Wilmington, OH 451772125

Phone: 9373826611

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.