DR. JOHN FLETCHER ROBERTSON IV OD
NPI 1467145730
Optometrist in Harriman, TN

Active since June 01, 2023PECOS EnrolledAccepts Medicare Assignment
1855 TANNER WAY STE 120, HARRIMAN, TN 37748(865) 882-1535(865) 882-9497 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 20, 2024, Jun 1, 2023 (2 updates tracked since 2023).

About Dr. John Fletcher Robertson Iv Od NPPES

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

DR. JOHN FLETCHER ROBERTSON IV OD (NPI 1467145730) is an individual optometrist in Harriman, Tennessee, licensed in Tennessee (3828) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oak Ridge, and is a graduate of University Alabama Birmingham - School Of Optometry (2023).

NPPES Registry Identity

NPI1467145730
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOHN FLETCHER ROBERTSON IVCredential: OD
Location Address1855 TANNER WAY STE 120Harriman, TN 37748-8331
Mailing Address1855 Tanner Way Ste 120Harriman, TN 37748-8332 · (865) 882-1535
Fax(865) 882-9497
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 2023
Enumeration DateJune 1, 2023
Last NPPES UpdateAugust 20, 20242 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
✔ NPI 1467145730 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 TN · 3828
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.
1855 TANNER WAY STE 120, Harriman, TN 37748

Secondary Practice Location 1

Location 190 Vermont AveOak Ridge, TN 37830-6474 · Phone (865) 482-8890

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. John Fletcher Robertson Iv Od 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 ID4789046145
PECOS Enrollment IDI20230816003334
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 John Robertson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
90 VERMONT AVE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee enrollment
  • 14 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.

Areas of Expertise CMS Part B claims 7

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.
257 services255 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.
188 services133 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.
77 services65 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.
38 services38 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).
36 services34 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37748 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Optometrist
1855 TANNER WAY STE 120
HARRIMAN, TN 37748
Optometrist
1855 TANNER WAY STE 120
HARRIMAN, TN 37748

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 John Robertson's NPI number?

The NPI number for John Robertson is 1467145730. It was assigned to this individual provider in the NPPES registry on June 1, 2023.

Where is John Robertson located?

John Robertson practices at 1855 Tanner Way Ste 120, Harriman, TN 37748. The listed phone number is (865) 882-1535.

What is John Robertson's specialty?

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

Is John Robertson enrolled in Medicare?

Yes. John 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 John Robertson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Robertson reassigns Medicare benefits to Eye Center Of Oak Ridge,pc (Oak Ridge, TN). 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 John Robertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Robertson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 12 other insurers list John 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 John Robertson was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.