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DR. ROGER MARVIN ALLYN O.D.
NPI 1093979874
Optometrist in La Plata, NM

Active since July 11, 2008PECOS Enrolled
1170 HWY 170, LA PLATA, NM 87418(505) 325-2472 Get Directions Write a Review

NPPES record last updated: July 11, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Roger Marvin Allyn O.d. NPPES

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

DR. ROGER MARVIN ALLYN O.D. (NPI 1093979874) is an individual optometrist in La Plata, New Mexico, licensed in New Mexico (2219 OP) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093979874
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ROGER MARVIN ALLYNCredential: O.D.
Location Address1170 HWY 170La Plata, NM 87418-0269
Mailing AddressPo Box 269La Plata, NM 87418-0269 · (505) 325-2472
Phone(505) 325-2472
Sole ProprietorYes
Enumeration DateJuly 11, 2008
✔ NPI 1093979874 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 NM · 2219 OP
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.
1170 HWY 170, La Plata, NM 87418
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roger Marvin Allyn O.d. 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 Reassignments

2

Medicare enrollment records show Roger Allyn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Classic Eyewear, Inc
11 mi
Optician
113 W BROADWAY
Farmington, NM 87401
  • Reassigned Medicare billing, New Mexico enrollment
  • 4 clinicians in this Medicare group
NPI 1447427638 (505) 326-2020
Cowlitz Indian Tribe
961 mi
Rehabilitation, Substance Use Disorder
7105 NE 40TH ST
Vancouver, WA 98661
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Bristol Bay Area Health Corporation
  • 360 clinicians in this Medicare group
NPI 1538412630 (360) 353-9431

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 87418 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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 Roger Allyn's NPI number?

The NPI number for Roger Allyn is 1093979874. It was assigned to this individual provider in the NPPES registry on July 11, 2008.

Where is Roger Allyn located?

Roger Allyn practices at 1170 Hwy 170, La Plata, NM 87418. The listed phone number is (505) 325-2472.

What is Roger Allyn's specialty?

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

Is Roger Allyn enrolled in Medicare?

Yes. Roger Allyn is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Roger Allyn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roger Allyn reassigns Medicare benefits to 2 organizations: Classic Eyewear, Inc (Farmington, NM) and Cowlitz Indian Tribe (Vancouver, WA). Each 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 Roger Allyn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Roger Allyn was last updated on July 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.