Active NPI 1497711105 Individual Practitioner Male Practitioner

Mark D Roberts , PA-C

Physician Assistant • Waco, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mark Roberts, PA-C is a certified Physician Assistant practicing in Waco, TX. With approximately 28 years of clinical experience since completing medical education in 1998, Mark Roberts delivers high-quality medical care to the local community at 1201 HEWITT DR STE 203.

Mark Roberts is affiliated with Certified Nurse Practitioners, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, established 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

1201 Hewitt Dr Ste 203

Waco, TX 767128834

Telephone 2546663627

Fax 2547326125

Associated Practice Facility / Clinic

🏢 Central Texas Urgent Care P.a. Facility NPI 1417101171

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Waco, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +15.7 yrs vs City Avg

City Avg: 12.3 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

66 Specialists

Practicing in Waco, TX (11140 Statewide)

Telehealth Adoption Rate

6.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roberts (28 Years) 28 Yrs

Waco Specialty Average (12.3 Years) 12.3 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
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	644	173	$200.00	$87.75
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	186	70	$150.81	$60.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	509	151	$268.62	$87.54
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	268	87	$202.89	$61.12
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	87	43	$200.00	$87.68
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	57	34	$150.00	$61.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	16	$198.20	$104.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$315.00	$135.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	389	112	$268.62	$72.59
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	150	58	$202.89	$55.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	55	$196.00	$105.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$315.00	$137.16
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	27	27	$100.00	$42.43
81003 Automated urinalysis test	17	16	$22.00	$2.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	14	$48.00	$11.85
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	15	15	$70.00	$51.31
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$128.00	$74.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	221	105	$268.62	$74.30
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	121	64	$202.89	$56.33
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	119	49	$268.62	$74.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	80	$196.00	$107.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$315.00	$138.88
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	51	51	$70.00	$51.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$206.00	$92.82
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	47	29	$202.89	$54.83
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	36	33	$90.00	$40.23
99213 Established patient office or other outpatient visit, typically 15 minutes	36	32	$128.00	$75.69
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	19	$48.00	$11.73
81003 Automated urinalysis test	24	24	$22.00	$2.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	458	149	$268.62	$75.85
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	391	99	$202.89	$57.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$315.00	$136.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	60	$196.00	$90.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$206.00	$89.31
81003 Automated urinalysis test	28	27	$22.00	$2.23
87804 Detection test by immunoassay with direct visual observation for influenza virus	24	12	$48.00	$16.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	18	$48.00	$11.75
71046 X-ray of chest, 2 views	17	17	$77.00	$26.80
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	14	14	$71.07	$51.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	484	145	$172.58	$56.74
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	443	172	$242.81	$75.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	83	$196.00	$88.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$315.00	$135.12
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	48	11	$7.50	$1.51
99318 Nursing facility annual assessment, typically 30 minutes	35	35	$253.15	$79.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	31	22	$48.00	$13.00
87804 Detection test by immunoassay with direct visual observation for influenza virus	28	14	$48.00	$16.22
81003 Automated urinalysis test	25	24	$22.00	$2.44
71046 X-ray of chest, 2 views	18	18	$77.00	$25.63
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	15	12	$105.00	$75.77
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	13	12	$85.50	$56.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$315.00	$135.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	39	$196.00	$88.46
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	32	27	$85.50	$57.18
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	21	19	$105.00	$75.58
81003 Automated urinalysis test	14	14	$22.00	$2.71
71046 X-ray of chest, 2 views	11	11	$77.00	$24.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$315.00	$133.61

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA02376

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

191296603 (TX)

Medicaid State Provider ID

191296602 (TX)

Medicaid State Provider ID

191296601 (TX)

Commercial Insurance / Payer ID Medicare

8L10914 (TX)

Commercial Insurance / Payer ID Tx Id

261742781 (TX)

Commercial Insurance / Payer ID Bcbs

8Y9746 (TX)

Commercial Insurance / Payer ID Blue Cross Blue Shield Of Texas

8Y2805 (TX)

Hospital & Practice Group Affiliations

Certified Nurse Practitioners, Pc

7005 Mira Loma Ln, Austin, TX 787231411

Phone: 5124705600

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Foy Dark , DO

Emergency Medicine

NPI 1003928060

Doctor of Osteopathic Medicine (D.O.)

Cynthia Thygesen , NP

Nurse Practitioner - Family

NPI 1740339258

Nurse Practitioner

Robin Argyle , APRN, FNP-C

Nurse Practitioner - Family

NPI 1790151710

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 25, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 25, 2012

Registered at 1201 HEWITT DR STE 203, WACO, TX 767128834 (Tel: 2546663627)

📍

Updated Business Mailing Address July 25, 2012

Registered at 1201 HEWITT DR STE 203, WACO, TX 767128834 (Tel: 2546663627)

👤

Provider Name / Credentials Updated July 25, 2012

Recorded as MARK ROBERTS, P.A.-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2012

Physician Assistant (License #PA02376 in TX)

🟢

Initial NPI Registration & Enumeration April 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Mark Roberts. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1497711105

Entity Type:

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

Enumeration Date: April 21, 2006

Last Update: July 25, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1201 Hewitt Dr Ste 203

Waco, TX 767128834

Phone: 2546663627

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.