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ROBERT RAY BALTIERRA
NPI 1013442094
Optometrist in Dexter, MI

Active since April 27, 2017PECOS Enrolled
8089 MAIN ST STE 1, DEXTER, MI 48130(734) 424-9230(734) 424-2576 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 9, 2024, Apr 2, 2021, Feb 28, 2020 and 1 more (4 updates tracked since 2017).

About Robert Ray Baltierra NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT RAY BALTIERRA (NPI 1013442094) is an individual optometrist in Dexter, Michigan, licensed in Michigan (4901005154) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Pinckney.

NPPES Registry Identity

NPI1013442094
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameROBERT RAY BALTIERRA
Location Address8089 MAIN ST STE 1Dexter, MI 48130-1079
Mailing Address8089 Main StDexter, MI 48130-1079 · (734) 424-9230 · Fax (734) 424-2576
Phone(734) 424-9230
Fax(734) 424-2576
Sole ProprietorYes
Enumeration DateApril 27, 2017
Last NPPES UpdateApril 14, 20254 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1013442094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 4901005154
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
8089 MAIN ST STE 1, Dexter, MI 48130
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Secondary Practice Location 1

Location 1907 E Main St Ste 1Pinckney, MI 48169-8147 · Phone (734) 878-7444 · Fax (734) 878-0678

Other Identifiers 1

Other0C97655MI · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Ray Baltierra is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Robert Baltierra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Myeyedr Optometry Of Michigan, LLC
9.3 mi
Optometrist
867 W EISENHOWER PKWY
Ann Arbor, MI 48103
  • Reassigned Medicare billing, Michigan enrollment
  • 144 clinicians in this Medicare group
NPI 1841875325 (734) 213-3529

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Baltierra's NPI number?

The NPI number for Robert Baltierra is 1013442094. It was assigned to this individual provider in the NPPES registry on April 27, 2017.

Where is Robert Baltierra located?

Robert Baltierra practices at 8089 Main St Ste 1, Dexter, MI 48130. The listed phone number is (734) 424-9230.

What is Robert Baltierra's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Robert Baltierra enrolled in Medicare?

Yes. Robert Baltierra is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Robert Baltierra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Baltierra reassigns Medicare benefits to Myeyedr Optometry Of Michigan, LLC (Ann Arbor, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Baltierra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Baltierra accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 13 other insurers list Robert Baltierra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robert Baltierra was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.