DR. JERRY THOMAS ROBERTS D.P.M. NPI 1629395405

NPI Information

  • NPI: 1629395405
  • Provider Name: DR. JERRY THOMAS ROBERTS, D.P.M.
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 117 TRADEPARK DR
    SOMERSET, KY
    ZIP 42503
  • Phone: (606) 679-2773

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NPI Details

DR. Jerry Thomas Roberts, D.P.M. is a foot and ankle surgery podiatrist in Somerset, KY with 16 years of experience. DR. Jerry Thomas Roberts, D.P.M. NPI is 1629395405. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2010

The provider's business location address is:

117 TRADEPARK DR
SOMERSET, KY
ZIP 42503-428
Phone: (606) 679-2773
Fax: (606) 679-4626

The NPI 1629395405 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Trimming of fingernails or toenails (HCPCS:11719)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Injection into tendon or ligament (HCPCS:20550)
  • Permanent removal fingernail or toenail (HCPCS:11750)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)

The enumeration date for this NPI number is 5/3/2010 and was last updated on 10/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2213ES0103XPodiatristFoot & Ankle SurgeryPOD001206GEORGIANo
3213ES0103XPodiatristFoot & Ankle Surgery00439KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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