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DR. ROBERT B DIRKSEN O.D.
NPI 1174669899
Optometrist in San Luis Obispo, CA

Active since January 29, 2007PECOS EnrolledAccepts Medicare Assignment
95.6/100
CMS Quality Rating
3855 BROAD STREET, SUITE B, SAN LUIS OBISPO, CA 93401(805) 545-7881(805) 548-8785 Get Directions Write a Review

NPPES record last updated: May 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert B Dirksen O.d. NPPES

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

DR. ROBERT B DIRKSEN O.D. (NPI 1174669899) is an individual optometrist in San Luis Obispo, California, licensed in California (12172) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1174669899
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ROBERT B DIRKSENCredential: O.D.
Location Address3855 BROAD STREET, SUITE BSan Luis Obispo, CA 93401
Mailing AddressPo Box 5357San Luis Obispo, CA 93403-5357 · (805) 545-7881 · Fax (805) 548-8785
Phone(805) 545-7881
Fax(805) 548-8785
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 29, 2007
Last NPPES UpdateMay 5, 2017
✔ NPI 1174669899 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 CA · 12172
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.
3855 BROAD STREET, San Luis Obispo, CA 93401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert B Dirksen O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658389218
PECOS Enrollment IDI20060323000768
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
230 services152 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
214 services213 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
150 services137 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
125 services123 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
90 services88 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
85 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 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
$135.73 typical visit price
range $59.84 – $178.89
Typical copayment $33.93 (range $14.96 – $44.72)
Most-billed visit code 99204
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost85.36

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM E MCREE MD
Ophthalmology
3855 BROAD STREET, STE B
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 545-7881
DR. SCOT ANTHONY CLASS O.D.
Optometrist
3855 BROAD STREET, STE B
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 545-8100
DR. CHRISTOPHER S HULBURD M.D.
Ophthalmology
3855 BROAD STREET, STE B
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 545-7881
DR. ROBERT W HIGGINBOTHAM M.D.
Ophthalmology
3855 BROAD STREET, STE B
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 545-8100
DR. RUPERT C CHOWINS O.D.
Optometrist
3855 BROAD STREET
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 545-8100
DR. JOSEPH B OLDENBURG M.D.
Ophthalmology
3855 BROAD STREET, STE B
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 545-7881

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 Dirksen's NPI number?

The NPI number for Robert Dirksen is 1174669899. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Robert Dirksen located?

Robert Dirksen practices at 3855 Broad Street Suite B, San Luis Obispo, CA 93401. The listed phone number is (805) 545-7881.

What is Robert Dirksen's specialty?

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

Is Robert Dirksen enrolled in Medicare?

Yes. Robert Dirksen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Robert Dirksen accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and Providence Health Plan list Robert Dirksen 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 Dirksen was last updated on May 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.