DR. JAMES WALLACE ROBERTSON MD
NPI 1457357832
Pediatrics in Traverse City, MI

Q: What is James Robertson's NPI number?

The NPI number for James Robertson is 1457357832. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Q: What is James Robertson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for James Robertson was last updated on December 24, 2020. 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.

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment

5024 N ROYAL DR, TRAVERSE CITY, MI 49684(231) 935-0555(231) 935-0562 Get Directions Write a Review

NPPES record last updated: December 24, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 24, 2020, Oct 24, 2019, Oct 17, 2019 (3 updates tracked since 2019).

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About Dr. James Wallace Robertson Md NPPES

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

DR. JAMES WALLACE ROBERTSON MD (NPI 1457357832) is an individual pediatrics provider in Traverse City, Michigan, licensed in Michigan (4301065685) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Michigan State University College Of Human Medicine (1995).

NPPES Registry Identity

NPI1457357832

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. JAMES WALLACE ROBERTSONCredential: MD

Location Address5024 N ROYAL DRTraverse City, MI 49684-9230

Mailing Address5024 N Royal DrTraverse City, MI 49684-9230 · (231) 935-0555

Phone(231) 935-0555

Fax(231) 935-0562

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 1995

Enumeration DateJune 22, 2005

Last NPPES UpdateDecember 24, 20203 updates tracked since enumeration

NPPES CertifiedDecember 24, 2020

✔ NPI 1457357832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4301065685

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

5024 N ROYAL DR, Traverse City, MI 49684

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Secondary Practice Locations 3

Location 1829 N Center Ave Ste 130Gaylord, MI 49735-1684 · Phone (989) 731-7930

Location 214719 W Upright StCharlevoix, MI 49720-1949 · Phone (231) 547-3840

Location 31250 E Michigan AveGrayling, MI 49738-7074 · Phone (989) 348-0550

Other Identifiers 1

Medicaid1065685MI

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Wallace Robertson Md 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 ID5496934234

PECOS Enrollment IDI20110125000889

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

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 7

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

CYNTHIA SMITH MD

Pediatrics

5024 N ROYAL DR
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 935-0555

MIRANDA BUIST FNP-C

Nurse Practitioner (Family)

5024 N ROYAL DR
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 935-0555

REBECCA ELAINE BAKER CPNP

Registered Nurse

5024 N ROYAL DR
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 935-0555

KIDS CREEK CHILDRENS CLINIC PC

Pediatrics

5024 N ROYAL DR
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 935-0555

ALICIA CLASSENS CPNP

Nurse Practitioner (Pediatrics)

5024 N ROYAL DR, KIDS CREEK CHILDREN'S CLINIC
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 935-0555

SPECTRUM HEALTH PRIMARY CARE PARTNERS

Pediatrics (Pediatric Endocrinology)

5024 N ROYAL DR
TRAVERSE CITY, MI 49684

Grand Traverse County (616) 391-3933

JOAN ELIZABETH HAZELTON LMSW

Social Worker (Clinical)

5024 N ROYAL DR, STE B
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 920-6145

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 James Robertson's NPI number?

The NPI number for James Robertson is 1457357832. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is James Robertson located?

James Robertson practices at 5024 N Royal Dr, Traverse City, MI 49684. The listed phone number is (231) 935-0555.

What is James Robertson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is James Robertson enrolled in Medicare?

Yes. James 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.

What insurance does James Robertson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list James 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 James Robertson was last updated on December 24, 2020. 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.