ALTON S ROSSMAN OD
NPI 1568569457
Optometrist in Salem, OR

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
1594 EDGEWATER STREET NW- STE 190, SALEM, OR 97304(503) 779-2119(503) 779-1195 Get Directions Write a Review

NPPES record last updated: August 23, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alton S Rossman Od NPPES

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

ALTON S ROSSMAN OD (NPI 1568569457) is an individual optometrist in Salem, Oregon, licensed in Oregon (2855 ATI) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2000).

NPPES Registry Identity

NPI1568569457
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameALTON S ROSSMANCredential: OD
Location Address1594 EDGEWATER STREET NW- STE 190Salem, OR 97304-4656
Mailing Address1430 Willamette Street #17Eugene, OR 97401-4049 · (541) 762-2763 · Fax (541) 434-0912
Fax(503) 779-1195
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2000
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 23, 2019
✔ NPI 1568569457 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 OR · 2855 ATI
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.
1594 EDGEWATER STREET NW- STE 190, Salem, OR 97304

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

Alton S Rossman 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 ID4880769389
PECOS Enrollment IDI20080819000086, I20260602001536
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 Alton Rossman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
2715 WILLETTA ST SW STE B
Albany, OR 97321
  • Reassigned Medicare billing, Oregon enrollment
  • 18 clinicians in this Medicare group
Optometrist
12600 SW CRESCENT ST, 130
Beaverton, OR 97005
  • Reassigned Medicare billing, Oregon enrollment
  • 51 clinicians in this Medicare group
Ophthalmologic Surgery
1919 FLORENCE AVE
Kingman, AZ 86401
  • Reassigned Medicare billing, Arizona enrollment
  • 212 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 3

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.
22 services22 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
21 services20 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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97304 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

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 Alton Rossman's NPI number?

The NPI number for Alton Rossman is 1568569457. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Alton Rossman located?

Alton Rossman practices at 1594 Edgewater Street Nw- Ste 190, Salem, OR 97304. The listed phone number is (503) 779-2119.

What is Alton Rossman's specialty?

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

Is Alton Rossman enrolled in Medicare?

Yes. Alton Rossman 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 Alton Rossman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alton Rossman reassigns Medicare benefits to 3 organizations: Eyecare Associates PC (Albany, OR), Pacific University (Beaverton, OR) and Southwestern Eye Center Ltd (Kingman, AZ). 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 Alton Rossman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alton Rossman accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Kaiser Permanente and 3 other insurers list Alton Rossman 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 Alton Rossman was last updated on August 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.