Steven Roberts NPI numberOregon 541 – a complete guide to locating, verifying, and understanding the National Provider Identifier for this Oregon‑based professional. This article walks you through the significance of NPI numbers, the steps to retrieve the specific NPI for Steven Roberts in Oregon’s 541 area code, and the practical uses of that identifier in healthcare administration. By the end, you will have a clear roadmap for confirming the NPI, interpreting its context, and answering common questions that arise during the search.
Introduction
The National Provider Identifier (NPI) is a unique ten‑digit code assigned to every healthcare provider in the United States. When a professional operates in Oregon and uses the 541 telephone area code, the NPI becomes a critical reference for billing, electronic health records, and regulatory compliance. This article focuses on Steven Roberts, detailing how to locate his NPI number, why the 541 prefix matters, and how to validate the information through official channels Worth knowing..
Understanding NPI Numbers
What Is an NPI? An NPI is a standardized identifier required by the Health Insurance Portability and Accountability Act (HIPAA) for all covered providers. It replaces older provider numbers and streamlines electronic transactions.
Structure of the NPI
The NPI consists of ten digits, where the first digit indicates the entity type (e.g., 1 for individuals, 2 for organizations). The remaining digits are generated algorithmically and contain no intrinsic meaning.
Why the NPI Matters
- Billing Accuracy – Ensures claims are routed to the correct provider.
- Data Interoperability – Enables seamless exchange of information across electronic health record (EHR) systems. - Regulatory Compliance – Satisfies CMS and state reporting requirements.
How to Find Steven Roberts’ NPI Number in Oregon
Step‑by‑Step Guide
- Access the NPI Registry – Use the official National Provider Identifier Registry website (https://npiregistry.cms.hhs.gov/).
- Enter Search Criteria – Type “Steven Roberts” in the First Name field and “Roberts” in the Last Name field.
- Filter by Location – Add “Oregon” or the zip code associated with the 541 area code to narrow results.
- Review the Results – Look for a match that includes the 541 area code or a city such as Eugene, Springfield, or Bend.
- Confirm the Details – Check the provider’s specialty, practice name, and address to ensure it aligns with the intended Steven Roberts.
Using Advanced Search Options
- Phone Number Search – Input “541” to locate providers within that area code.
- Taxonomy Filter – Select the appropriate medical specialty (e.g., Family Medicine, Cardiology) to refine the list.
Why the 541 Area Code Matters The 541 area code covers much of central and eastern Oregon, including major cities like Eugene and Bend. When a provider’s contact information includes a 541 prefix, it often indicates the geographic region where they practice. This can be useful for:
- Local Referrals – Patients seeking nearby specialists.
- Insurance Network Verification – Confirming that the provider participates in regional health plans.
- Documentation Accuracy – Ensuring that electronic records reflect the correct location for billing and compliance.
Verifying the NPI Record
Using the NPI Registry
After locating the candidate NPI, click the “View Details” link to examine the full record. Key fields to verify include:
- NPI Number – The ten‑digit identifier itself.
- Provider Name – Exact spelling and any middle initials.
- Address – Street, city, state, and zip code.
- Taxonomy Code – Indicates the provider’s area of expertise.
Cross‑Checking with Oregon Licensing Boards
To double‑ensure authenticity, visit the Oregon State Board of Medical Examiners or the relevant professional licensing agency. Search their database using the provider’s name or NPI to confirm active licensure and any disciplinary actions Easy to understand, harder to ignore. That's the whole idea..
Common Uses of an NPI Number
Billing and Claims
- Electronic Claims Submission – The NPI must be included on all Medicare, Medicaid, and private insurance claims.
- Provider Credentialing – Health plans require the NPI during the credentialing process to verify identity.
Referrals and Coordination
- Hospital Admission – Facilities use the NPI to record which physician ordered admission.
- Care Coordination – Case managers reference the NPI when tracking specialist visits.
Frequently Asked Questions (FAQ)
Is the NPI number public information?
Yes. The NPI Registry publishes all active NPIs in a searchable database, making the identifier publicly accessible.
Can I search by phone number instead of name?
The NPI Registry allows filtering by area code, but a direct phone‑number search is not supported. Use the “Phone Number” field in the advanced search to include the 541 prefix.
What if the NPI appears inactive? An inactive status may indicate retirement, relocation
, or other changes in practice. Always verify the information with the licensing board or directly with the provider’s office.
Where can I find the NPI number?
The NPI number is typically found on provider websites, insurance cards, or billing statements That's the whole idea..
Potential Red Flags to Watch For
While the NPI search is a valuable tool, it helps to be aware of potential red flags that could indicate fraudulent activity. These include:
- Inconsistencies in Information: Discrepancies between the NPI record, the provider’s website, and other sources.
- Lack of Licensure: An NPI record that doesn’t match a valid license with the Oregon State Board of Medical Examiners.
- Unusual Practice Information: Details in the NPI record that seem inconsistent with the provider’s claimed specialty or practice location.
- Requests for Upfront Payment: Be wary of providers who demand significant upfront payments before providing services, especially if they are unfamiliar.
If you encounter any of these red flags, it’s crucial to conduct further investigation and report your concerns to the appropriate authorities, such as the Oregon Health Authority or the Federal Trade Commission.
Conclusion
Navigating the healthcare landscape requires vigilance and a commitment to verifying information. That's why understanding the role of the NPI number, particularly within the 541 area code context, empowers patients, healthcare professionals, and administrators to make informed decisions. By utilizing the NPI Registry, cross-referencing with licensing boards, and remaining aware of potential red flags, we can contribute to a safer and more trustworthy healthcare system. The NPI is a cornerstone of healthcare administration, ensuring accurate billing, facilitating seamless referrals, and ultimately, protecting patients from potential fraud and misrepresentation. Employing these verification methods is not merely a procedural step; it’s an investment in the integrity of the healthcare system and the well-being of individuals seeking care.
