DR. JAMES WALLACE ROBERTSON MD
NPI 1457357832
Pediatrics in Traverse City, MI
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
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 1
Accepted 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. 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.
Medicare Billing Reassignments
3Medicare enrollment records show James Robertson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Traverse City, MI 49684
- Reassigned Medicare billing, Michigan enrollment
- 7 clinicians in this Medicare group
Grayling, MI 49738
- Reassigned Medicare billing, Michigan enrollment
- 123 clinicians in this Medicare group
Engadine, MI 49827
- Reassigned Medicare billing, Michigan enrollment
- 43 clinicians in this Medicare group
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 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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
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.
Which organizations bill Medicare for James Robertson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Robertson reassigns Medicare benefits to 3 organizations: Kids Creek Childrens Clinic PC (Traverse City, MI), Munson Healthcare Grayling (Grayling, MI) and Helen Newberry Joy Hospital & Healthcare Center (Engadine, MI). 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 James Robertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 1 other insurer 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.
# Dr. James Wallace Robertson, MD · NPI 1457357832
Pediatrics physician in Traverse City, Michigan. Individual provider, active in the CMS NPPES registry since June 22, 2005.
## Identity
- **NPI:** 1457357832 (Entity type: Individual)
- **Enumerated:** June 22, 2005
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 4301065685 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 5024 N ROYAL DR, Traverse City, MI 49684-9230
- **Phone:** (231) 935-0555 · **Fax:** (231) 935-0562
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Kids Creek Childrens Clinic PC (NPI 1649291832, Traverse City, MI); Munson Healthcare Grayling (NPI 1699275750, Grayling, MI); Helen Newberry Joy Hospital & Healthcare Center (NPI 1033266002, Engadine, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Human Medicine, class of 1995
## Record status
- **NPPES last updated:** December 24, 2020
- **Other identifiers:** Medicaid 1065685 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1457357832) · Data from the CMS NPPES public registry.