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DR. BRIAN W ROBERTS O.D.
NPI 1245299866
Optometrist in Calera, AL

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment
85.62/100
CMS Quality Rating
5100 HIGHWAY 31, CALERA, AL 35040(205) 668-2633(205) 668-4269 Get Directions Write a Review

NPPES record last updated: October 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brian W Roberts O.d. NPPES

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

DR. BRIAN W ROBERTS O.D. (NPI 1245299866) is an individual optometrist in Calera, Alabama, licensed in Alabama (S991-TA563) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2001).

NPPES Registry Identity

NPI1245299866
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. BRIAN W ROBERTSCredential: O.D.
Location Address5100 HIGHWAY 31Calera, AL 35040-5154
Mailing Address5100 Highway 31Calera, AL 35040-5154 · (205) 668-2633 · Fax (205) 668-4269
Phone(205) 668-2633
Fax(205) 668-4269
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2001
Enumeration DateMarch 22, 2006
Last NPPES UpdateOctober 6, 2011
✔ NPI 1245299866 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 AL · S991-TA563
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.
5100 HIGHWAY 31, Calera, AL 35040
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Other Identifiers 3

Other02-0691178AL · Tax Id
Medicare UPINU87302AL
Medicare ID-Type Unspecified0515-15263ROBAL · Medicare #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana 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. Brian W Roberts 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 ID2668646910
PECOS Enrollment IDI20111122000741
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 6

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 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.
227 services216 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
153 services153 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.
126 services122 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
27 services22 patients
Measurement of retinal and optic nerve function 92273
This procedure checks the health of your eyes, specifically the retina and optic nerve. These parts help in visual interpretation. The test involves non-invasive techniques to measure your eye's response to light and assess its functioning.
26 services21 patients
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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35040 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

85.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.67
Promoting Interoperability100
Improvement Activities40

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.

ANN DEFREESE DAVIS RPH
Pharmacist
5100 HIGHWAY 31
CALERA, AL 35040
Shelby County (205) 668-1589
JENNIFER LEIGH WOLFE
Pharmacist
5100 HIGHWAY 31
CALERA, AL 35040
Shelby County (205) 668-1589
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
5100 HIGHWAY 31
CALERA, AL 35040
Shelby County (205) 668-1589
TAMERA DEAN GILES PHARM D
Pharmacist
5100 HIGHWAY 31
CALERA, AL 35040
Shelby County (205) 668-1589
WAL-MART STORES EAST, LP
Eyewear Supplier
5100 HIGHWAY 31
CALERA, AL 35040
Shelby County (205) 668-0831
ARIEL DENSON
Pharmacist
5100 HIGHWAY 31
CALERA, AL 35040
Shelby County (205) 668-0831

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 Brian Roberts's NPI number?

The NPI number for Brian Roberts is 1245299866. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is Brian Roberts located?

Brian Roberts practices at 5100 Highway 31, Calera, AL 35040. The listed phone number is (205) 668-2633.

What is Brian Roberts's specialty?

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

Is Brian Roberts enrolled in Medicare?

Yes. Brian Roberts 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 Brian Roberts accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Brian Roberts 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 Brian Roberts was last updated on October 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.