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DR. MALLORY SANDERFUR ROBERTS O.D.
NPI 1679668198
Optometrist in Calhoun, KY

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
255 MAIN ST, CALHOUN, KY 42327(270) 273-3000(270) 273-9252 Get Directions Write a Review

NPPES record last updated: June 18, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Mallory Sanderfur Roberts O.d. NPPES

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

DR. MALLORY SANDERFUR ROBERTS O.D. (NPI 1679668198) is an individual optometrist in Calhoun, Kentucky, licensed in Kentucky (1421DT) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1998).

NPPES Registry Identity

NPI1679668198
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MALLORY SANDERFUR ROBERTSCredential: O.D.
Location Address255 MAIN STCalhoun, KY 42327-2104
Mailing AddressPo Box 411Calhoun, KY 42327-0411 · (270) 273-3000 · Fax (270) 273-9252
Phone(270) 273-3000
Fax(270) 273-9252
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1998
Enumeration DateOctober 3, 2006
Last NPPES UpdateJune 18, 2014
✔ NPI 1679668198 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 KY · 1421DT
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.
255 MAIN ST, Calhoun, KY 42327
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Other Identifiers 6

Medicaid77014215KY
Medicare PIN0758001KY
Medicaid77903375KY
Medicare NSC4173890001KY
Medicare PIN1870601KY
Medicare UPINU73459KY

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

Dr. Mallory Sanderfur Roberts 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 ID6709878762
PECOS Enrollment IDI20040405000086
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 Mallory Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bluegrass Family Eyecare Inc.
32 mi
Optometrist
1303 MAIN STREET
Beaver Dam, KY 42320
  • Reassigned Medicare billing, Kentucky enrollment
  • 2 clinicians in this Medicare group
NPI 1598838385 (270) 274-3294

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 5

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.
2,065 services17 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.
86 services86 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.
64 services39 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
25 services25 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.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42327 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 Mallory Roberts's NPI number?

The NPI number for Mallory Roberts is 1679668198. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Mallory Roberts located?

Mallory Roberts practices at 255 Main St, Calhoun, KY 42327. The listed phone number is (270) 273-3000.

What is Mallory Roberts's specialty?

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

Is Mallory Roberts enrolled in Medicare?

Yes. Mallory 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 Mallory Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Roberts reassigns Medicare benefits to Bluegrass Family Eyecare Inc. (Beaver Dam, KY). 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 Mallory Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mallory 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 2 other insurers list Mallory 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 Mallory Roberts was last updated on June 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.