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MICHAEL ROBERTS OD
NPI 1578654265
Optometrist in Cumming, GA

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
210 HUDSON ST, CUMMING, GA 30040(770) 887-9171(770) 887-9180 Get Directions Write a Review

NPPES record last updated: April 5, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael Roberts Od NPPES

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

MICHAEL ROBERTS OD (NPI 1578654265) is an individual optometrist in Cumming, Georgia, licensed in Georgia (OPT002157) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2003).

NPPES Registry Identity

NPI1578654265
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMICHAEL ROBERTSCredential: OD
Location Address210 HUDSON STCumming, GA 30040-2432
Mailing Address210 Hudson StCumming, GA 30040-2432 · (770) 887-9171 · Fax (770) 887-9180
Phone(770) 887-9171
Fax(770) 887-9180
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2003
Enumeration DateSeptember 27, 2006
Last NPPES UpdateApril 5, 2019
✔ NPI 1578654265 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 GA · OPT002157
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.
210 HUDSON ST, Cumming, GA 30040
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.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

Michael Roberts 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 ID4486544731
PECOS Enrollment IDI20041118000677
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 Michael Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Legacy Family Eyecare Inc
Same address
Optometrist
210 HUDSON ST
Cumming, GA 30040
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
NPI 1689958183 (770) 887-9171

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 8

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
2,970 services20 patients
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.
202 services201 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
54 services51 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
50 services50 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.
35 services22 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.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30040 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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 3

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

LEGACY FAMILY EYECARE INC
Optometrist
210 HUDSON ST
CUMMING, GA 30040
Forsyth County (770) 887-9171
TIFFANY LUKE O.D.
Optometrist
210 HUDSON ST
CUMMING, GA 30040
Forsyth County (770) 887-9171
DR. MATTHEW B. KAUFMAN M.D.
Ophthalmology
210 HUDSON ST
CUMMING, GA 30040
Forsyth County (770) 887-9171

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 Michael Roberts's NPI number?

The NPI number for Michael Roberts is 1578654265. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Michael Roberts located?

Michael Roberts practices at 210 Hudson St, Cumming, GA 30040. The listed phone number is (770) 887-9171.

What is Michael Roberts's specialty?

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

Is Michael Roberts enrolled in Medicare?

Yes. Michael Roberts 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 Michael Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Roberts reassigns Medicare benefits to Legacy Family Eyecare Inc (Cumming, GA). 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 Michael Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Roberts 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 8 other insurers list Michael Roberts 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 Michael Roberts was last updated on April 5, 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.