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MACY BREANNE ROLLER OD
NPI 1871223883
Optometrist in Columbia, MO

Active since June 13, 2022PECOS EnrolledAccepts Medicare Assignment
725 S SCOTT BLVD STE 101, COLUMBIA, MO 65203(573) 446-1600 Get Directions Write a Review

NPPES record last updated: December 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2025, Sep 1, 2025 (2 updates tracked since 2025).

About Macy Breanne Roller Od NPPES

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

MACY BREANNE ROLLER OD (NPI 1871223883) is an individual optometrist in Columbia, Missouri, licensed in Missouri (2022021450) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Eldon, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1871223883
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMACY BREANNE ROLLERCredential: OD
Location Address725 S SCOTT BLVD STE 101Columbia, MO 65203-0432
Mailing Address725 S Scott Blvd Ste 101Columbia, MO 65203-0396 · (573) 446-1600
Phone(573) 446-1600
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 13, 2022
Last NPPES UpdateDecember 14, 20252 updates tracked since enumeration
NPPES CertifiedDecember 14, 2025
✔ NPI 1871223883 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 MO · 2022021450
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.
725 S SCOTT BLVD STE 101, Columbia, MO 65203
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Secondary Practice Location 1

Location 1115 N Oak StEldon, MO 65026-1444 · Phone (573) 375-8841

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Macy Breanne Roller 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 ID2163803974
PECOS Enrollment IDI20220725001944
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 9

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.
108 services107 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.
94 services89 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.
78 services58 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
45 services27 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
43 services37 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.
37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65203 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

COLUMBIA FAMILY FOCUS EYECARE, LLC
Optometrist
725 S SCOTT BLVD STE 101
COLUMBIA, MO 65203
Boone County (573) 444-1600
DR. GLENN DOUGLAS DARLINGTON OD
Optometrist
725 S SCOTT BLVD STE 101
COLUMBIA, MO 65203
Boone County (573) 446-1600
DR. JOSEPH D RICH O.D.
Optometrist
725 S SCOTT BLVD STE 101
COLUMBIA, MO 65203
Boone County (573) 446-1600

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 Macy Roller's NPI number?

The NPI number for Macy Roller is 1871223883. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Where is Macy Roller located?

Macy Roller practices at 725 S Scott Blvd Ste 101, Columbia, MO 65203. The listed phone number is (573) 446-1600.

What is Macy Roller's specialty?

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

Is Macy Roller enrolled in Medicare?

Yes. Macy Roller 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 Macy Roller accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 7 other insurers list Macy Roller 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 Macy Roller was last updated on December 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.