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DR. KELLEN ROBERTSON O.D.
NPI 1285099093
Optometrist in Spokane, WA

Active since December 21, 2015PECOS EnrolledAccepts Medicare Assignment
412 E 30TH AVE, SPOKANE, WA 99203(509) 448-7300(509) 448-7382 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 17, 2021, Aug 16, 2018, Mar 17, 2018 and 2 more (5 updates tracked since 2015).

About Dr. Kellen Robertson O.d. NPPES

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

DR. KELLEN ROBERTSON O.D. (NPI 1285099093) is an individual optometrist in Spokane, Washington, licensed in Washington (OD60649654) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Troy, and is a graduate of Pacific University - College Of Optometry (2016).

NPPES Registry Identity

NPI1285099093
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KELLEN ROBERTSONCredential: O.D.
Location Address412 E 30TH AVESpokane, WA 99203-2556
Mailing Address412 E 30th AveSpokane, WA 99203-2556 · (509) 448-7300 · Fax (509) 448-7382
Phone(509) 448-7300
Fax(509) 448-7382
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 2016
Enumeration DateDecember 21, 2015
Last NPPES UpdateSeptember 17, 20215 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2021
✔ NPI 1285099093 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 WA · OD60649654
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.
412 E 30TH AVE, Spokane, WA 99203
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Secondary Practice Location 1

Location 11295 Driscoll Ridge RdTroy, ID 83871-9603 · Phone (208) 669-0015

Other Identifiers 1

Medicaid2075649WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 and accepts Medicare assignment

Dr. Kellen Robertson 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 ID8820377120
PECOS Enrollment IDI20161109000418
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 Kellen Robertson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eyes For Life Ps
2.5 mi
Optometrist
3022 E 57TH AVE STE 11
Spokane, WA 99223
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Eyes For Life P S
  • 2 clinicians in this Medicare group
NPI 1023299856 (509) 448-7300

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

Areas of Expertise CMS Part B claims 8

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 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.
83 services62 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.
62 services61 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.
48 services30 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).
21 services18 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
20 services19 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.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99203 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

Other Providers at the Same Location NPPES 2

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

LAURIE MARTINCHUK
Occupational Therapist (Pediatrics)
412 E 30TH AVE
SPOKANE, WA 99203
Spokane County (509) 535-5855
DR. HEAVIN BORTZ MAIER OD
Optometrist
412 E 30TH AVE
SPOKANE, WA 99203
Spokane County (509) 448-7300

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 Kellen Robertson's NPI number?

The NPI number for Kellen Robertson is 1285099093. It was assigned to this individual provider in the NPPES registry on December 21, 2015.

Where is Kellen Robertson located?

Kellen Robertson practices at 412 E 30th Ave, Spokane, WA 99203. The listed phone number is (509) 448-7300.

What is Kellen Robertson's specialty?

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

Is Kellen Robertson enrolled in Medicare?

Yes. Kellen Robertson 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.

Which organization bills Medicare for Kellen Robertson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kellen Robertson reassigns Medicare benefits to Eyes For Life Ps (Spokane, WA). 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 Kellen Robertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kellen Robertson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Premera Blue Cross Blue Shield of Alaska and 1 other insurer list Kellen Robertson 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 Kellen Robertson was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.