DR. JERRY LEE ROBBEN
NPI 1528376589
Optometrist in St Augustine, FL
About Dr. Jerry Lee Robben NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JERRY LEE ROBBEN (NPI 1528376589) is an individual optometrist in St Augustine, Florida, licensed in Florida (OPC4572) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
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. Jerry Lee Robben 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
2Medicare enrollment records show Jerry Robben reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jacksonville, FL 32256
- Reassigned Medicare billing, Florida enrollment
- 7 clinicians in this Medicare group
Bradenton, FL 34209
- Reassigned Medicare billing, Florida enrollment
- 64 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 16
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
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 Jerry Robben's NPI number?
The NPI number for Jerry Robben is 1528376589. It was assigned to this individual provider in the NPPES registry on September 23, 2010.
Where is Jerry Robben located?
Jerry Robben practices at 206 Ashourian Ave Ste 215, St Augustine, FL 32092. The listed phone number is (904) 296-0098.
What is Jerry Robben's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jerry Robben enrolled in Medicare?
Yes. Jerry Robben 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 Jerry Robben's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Robben reassigns Medicare benefits to 2 organizations: Frank W Bowden III MD Facs PA (Jacksonville, FL) and Eye Associates Of Manatee, LLP (Bradenton, FL). 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 Jerry Robben's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jerry Robben 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 Florida Blue (BlueCross BlueShield FL) and 12 other insurers list Jerry Robben 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 Jerry Robben was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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. Jerry Lee Robben · NPI 1528376589
Optometrist provider in St Augustine, Florida. Individual provider, active in the CMS NPPES registry since September 23, 2010.
## Identity
- **NPI:** 1528376589 (Entity type: Individual)
- **Enumerated:** September 23, 2010
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPC4572 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 206 ASHOURIAN AVE STE 215, St Augustine, FL 32092-5107
- **Phone:** (904) 296-0098
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Frank W Bowden III MD Facs PA (NPI 1841287760, Jacksonville, FL); Eye Associates Of Manatee, LLP (NPI 1366483851, Bradenton, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** October 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1528376589) · Data from the CMS NPPES public registry.