DR. KAITLYN CEZANNE ROTHBERG O.D.
NPI 1609215557
Optometrist in St Petersburg, FL

Active since June 24, 2013PECOS EnrolledAccepts Medicare Assignment
2201 4TH ST N, STE A, ST PETERSBURG, FL 33704(727) 894-0500 Get Directions Write a Review

NPPES record last updated: September 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 22, 2018, Jan 4, 2017 (2 updates tracked since 2017).

About Dr. Kaitlyn Cezanne Rothberg O.d. NPPES

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

DR. KAITLYN CEZANNE ROTHBERG O.D. (NPI 1609215557) is an individual optometrist in St Petersburg, Florida, licensed in Florida (OPC 4840) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1609215557
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KAITLYN CEZANNE ROTHBERGCredential: O.D.
Location Address2201 4TH ST N, STE ASt Petersburg, FL 33704-4300
Mailing Address2201 4th St N, Ste ASt Petersburg, FL 33704-4300 · (806) 433-7509
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 24, 2013
Last NPPES UpdateSeptember 22, 20182 updates tracked since enumeration
NPI 1609215557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in FL · OPC 4840 Licensed in TX · 8258-T
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.
2201 4TH ST N, St Petersburg, FL 33704

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kaitlyn Cezanne Rothberg O.d. 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 ID1850525221
PECOS Enrollment IDI20131018000548
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.

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.

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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33704 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Dentist
2201 4TH ST N, STE C
SAINT PETERSBURG, FL 33704
Dentist (General Practice)
2201 4TH ST N, SUITE C
SAINT PETERSBURG, FL 33704

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 Kaitlyn Rothberg's NPI number?

The NPI number for Kaitlyn Rothberg is 1609215557. It was assigned to this individual provider in the NPPES registry on June 24, 2013.

Where is Kaitlyn Rothberg located?

Kaitlyn Rothberg practices at 2201 4th St N Ste A, St Petersburg, FL 33704. The listed phone number is (727) 894-0500.

What is Kaitlyn Rothberg's specialty?

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

Is Kaitlyn Rothberg enrolled in Medicare?

Yes. Kaitlyn Rothberg 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.

What insurance does Kaitlyn Rothberg accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 5 other insurers list Kaitlyn Rothberg 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 Kaitlyn Rothberg was last updated on September 22, 2018. 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.