LEEMOR BASSE ROTBERG MD
NPI 1538121504
Ophthalmology in Dearborn, MI

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
84.72/100
CMS Quality Rating
22731 NEWMAN STREET, SUITE 245, DEARBORN, MI 48124(313) 561-1777(313) 561-8044 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 23, 2020, Apr 20, 2020 (2 updates tracked since 2020).

About Leemor Basse Rotberg Md NPPES

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

LEEMOR BASSE ROTBERG MD (NPI 1538121504) is an individual ophthalmology provider in Dearborn, Michigan, licensed in Michigan (4301078090) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and maintains a secondary practice location in Royal Oak.

NPPES Registry Identity

NPI1538121504
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameLEEMOR BASSE ROTBERGCredential: MD
Location Address22731 NEWMAN STREET, SUITE 245Dearborn, MI 48124
Mailing Address6689 Orchard Lake Road, #297West Bloomfield, MI 48322 · (248) 254-8140 · Fax (248) 254-8150
Fax(313) 561-8044
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2000
Enumeration DateApril 5, 2006
Last NPPES UpdateOctober 23, 20202 updates tracked since enumeration
NPPES CertifiedOctober 23, 2020
✔ NPI 1538121504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MI · 4301078090
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistTaxonomy 207WX0110X · License 4301078090 (MI)
22731 NEWMAN STREET, Dearborn, MI 48124

Other Names 1

Former Name (1)Leemor Basse Md

Secondary Practice Location 1

Location 13535 W 13 Mile Rd Ste 555Royal Oak, MI 48073-6770 · Phone (248) 551-2020 · Fax (248) 551-2267

Other Identifiers 1

Medicaid4761675MI

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

Leemor Basse Rotberg 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 ID143289496
PECOS Enrollment IDI20070531000573
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 Reassignments

3

Medicare enrollment records show Leemor Rotberg reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
22731 NEWMAN ST STE 245
Dearborn, MI 48124
  • Reassigned Medicare billing, Michigan enrollment
  • 9 clinicians in this Medicare group
Surgery
3601 W 13 MILE RD
Royal Oak, MI 48073
  • Reassigned Medicare billing, Michigan enrollment
  • 1,030 clinicians in this Medicare group
Hospitalist
3601 W 13 MILE RD
Royal Oak, MI 48073
  • Reassigned Medicare billing, Michigan enrollment
  • 946 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

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.

Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
22 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48124 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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.

84.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost68.39

Other Providers at the Same Location NPPES

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

Otolaryngology
22731 NEWMAN STREET, STE 120
DEARBORN, MI 48124

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 Leemor Rotberg's NPI number?

The NPI number for Leemor Rotberg is 1538121504. It was assigned to this individual provider in the NPPES registry on April 5, 2006. The provider is also known as Leemor Basse MD.

Where is Leemor Rotberg located?

Leemor Rotberg practices at 22731 Newman Street Suite 245, Dearborn, MI 48124. The listed phone number is (313) 561-1777.

What is Leemor Rotberg's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Leemor Rotberg enrolled in Medicare?

Yes. Leemor Rotberg 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 Leemor Rotberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leemor Rotberg reassigns Medicare benefits to 3 organizations: Childrens Eye Care PC (Dearborn, MI), Beaumont Medical Group- Specialty Services (Royal Oak, MI) and Beaumont Medical Group Hospital -Based Services (Royal Oak, 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 Leemor Rotberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leemor Rotberg 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 3 other insurers list Leemor Rotberg 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.

Is Leemor Rotberg affiliated with any hospitals?

According to CMS data, Leemor Rotberg is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Leemor Rotberg was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.