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Active NPI 1265474472 Individual Practitioner Male Practitioner

Dr. Jacob Aaron Roberts , DO

Emergency Medicine • Harrison, AR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Roberts, DO is a certified Emergency Medicine practicing in Harrison, AR. With approximately 25 years of clinical experience since graduating from Oklahoma State University College Of Osteopathic Medicine in 2001, Dr. Roberts delivers high-quality medical care to the local community at 620 NORTH MAIN.

Dr. Roberts maintains professional affiliations with Mercy Hospital Springfield, Mercy Clinic Springfield Communities and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

620 North Main

Harrison, AR 726012926

Telephone 8703652000
Fax 3607386377
Associated Practice Facility / Clinic
🏢 Nes Arkansas, Inc. Facility NPI 1992898142

Medicare Profile & Education

Medical School

Oklahoma State University College Of Osteopathic Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Harrison, AR

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs +2.1 yrs vs City Avg
City Avg: 22.9 Yrs
State Avg: 23.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Harrison, AR (463 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
77.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roberts (25 Years) 25 Yrs
Harrison Specialty Average (22.9 Years) 22.9 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
99284 Emergency department visit with moderate level of medical decision making
200 196 $470.61 $113.97
99285 Emergency department visit for life threatening or functioning severity
115 113 $753.37 $165.40
99283 Emergency department visit with low level of medical decision making
61 61 $300.41 $66.40

Medical Specialties & State Licenses

CMS Verified: 2026-06-18
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License AR E-6639

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License WA OP00002055

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License MO 2008004927

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8448532 (WA)
Commercial Insurance / Payer ID Liwa
0207212 (WA)
Commercial Insurance / Payer ID Bswa
1153RO (WA)
Commercial Insurance / Payer ID Bswa
1771RO (WA)
Commercial Insurance / Payer ID Ar Blue Cross
85490
Commercial Insurance / Payer ID Liwa
0207213 (WA)

Hospital & Practice Group Affiliations

Mercy Clinic Springfield Communities

1235 E Cherokee St, Springfield, MO 658042203

Phone: 4178202600

Mercy Hospital Springfield

1235 E Cherokee St, Springfield, MO 658042203

Phone: 4178202115

Secondary Practice Locations

1000 W 10th St

Rolla, MO 654012905

Phone: 5734588899

1100 N Kentucky Ave

West Plains, MO 657752029

Phone: 4172569111

Practice Associates & Co-Workers

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

22 Associated Practitioners
Joseph Thomas , ANP

Nurse Practitioner

NPI 1063585966

Adult Nurse Practitioner

Dr. Allister Stone , DO

Emergency Medicine

NPI 1073552394

Doctor of Osteopathic Medicine (D.O.)

Dr. Ruth Berner , MD

Emergency Medicine

NPI 1093752347

Doctor of Medicine (M.D.)

Jesse Larbey , PA

Physician Assistant

NPI 1194095448

Physician Assistant

Dr. Mark Zarzycki , MD

Emergency Medicine

NPI 1215972930

Doctor of Medicine (M.D.)

Dr. Timothy Costello , MD

Emergency Medicine

NPI 1235195785

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2026

Emergency Medicine (License #E-6639 in AR)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2025

Emergency Medicine (License #2008004927 in MO)

NPI Profile Active June 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2014

Registered at 620 NORTH MAIN, HARRISON, AR 726012926 (Tel: 8703652000)

📍
Updated Business Mailing Address June 17, 2014

Registered at 505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 980036328 (Tel: 2538386180)

👤
Provider Name / Credentials Updated June 17, 2014

Recorded as JACOB ROBERTS, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2014

Emergency Medicine (License #E-6639 in AR)

🟢
Initial NPI Registration & Enumeration June 12, 2006

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: 1265474472
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2006
Last Update: June 18, 2026
Sole Proprietor: No

Mailing Address

505 S 336th St, Suite 600

Federal Way, WA 980036328

Phone: 2538386180

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.