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DR. MARK DAVIS ROBERTSON O.D.
NPI 1720142466
Optometrist in Saipan, MP

Active since December 20, 2006PECOS Enrolled
100/100
CMS Quality Rating
503900 MOOTY 13 FISHERMEN BEACHROAD, GARAPAN, SAIPAN, MP 96950(670) 235-9090(670) 235-9091 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mark Davis Robertson O.d. NPPES

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

DR. MARK DAVIS ROBERTSON O.D. (NPI 1720142466) is an individual optometrist in Saipan, Mariana Islands, licensed in Mariana Islands (0015) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720142466
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARK DAVIS ROBERTSONCredential: O.D.
Location Address503900 MOOTY 13 FISHERMEN BEACHROAD, GARAPANSaipan, MP 96950-3900
Mailing AddressPo Box 503900Saipan, MP 96950-3900 · (670) 235-9090 · Fax (670) 235-9091
Phone(670) 235-9090
Fax(670) 235-9091
Sole ProprietorNo
Enumeration DateDecember 20, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1720142466 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 MP · 0015
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.

Other Identifiers 1

Medicare PIN54299MP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Davis Robertson O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Mark Robertson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marianas Eye Institute Inc
Ophthalmology
503900 MOOTY, 13 FISHERMEN BEACHROAD, GARAPAN
Saipan, MP 96950
  • Reassigned Medicare billing, Northern Mariana Islands enrollment
  • 12 clinicians in this Medicare group
NPI 1023168010 (670) 235-9090

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96950 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
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES

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

DR. DAVID KHORRAM M.D.
Ophthalmology
503900 MOOTY 13 FISHERMEN BEACHROAD, GARAPAN
SAIPAN, MP 96950
Saipan Municipality (670) 235-9090

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 Mark Robertson's NPI number?

The NPI number for Mark Robertson is 1720142466. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Mark Robertson located?

Mark Robertson practices at 503900 Mooty 13 Fishermen Beachroad, Garapan, Saipan, MP 96950. The listed phone number is (670) 235-9090.

What is Mark Robertson's specialty?

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

Is Mark Robertson enrolled in Medicare?

Yes. Mark Robertson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Robertson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Robertson reassigns Medicare benefits to Marianas Eye Institute Inc (Saipan, MP). 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 Mark Robertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Robertson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.