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TYLER ROBERTSON OD
NPI 1891216388
Optometrist in Ely, NV

Active since July 05, 2017PECOS EnrolledAccepts Medicare Assignment
1250 GREAT BASIN BLVD, ELY, NV 89301(775) 289-2580 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 15, 2023, Feb 1, 2023, Jul 5, 2017 (3 updates tracked since 2017).

About Tyler Robertson Od NPPES

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

TYLER ROBERTSON OD (NPI 1891216388) is an individual optometrist in Ely, Nevada, licensed in Nevada (924) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Jc Edwards School Of Medicine, Marshall University (2017).

NPPES Registry Identity

NPI1891216388
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameTYLER ROBERTSONCredential: OD
Location Address1250 GREAT BASIN BLVDEly, NV 89301-2096
Mailing Address833 Avenue NEly, NV 89301-2904 · (775) 293-3037
Phone(775) 289-2580
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2017
Enumeration DateJuly 5, 2017
Last NPPES UpdateFebruary 15, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2023
✔ NPI 1891216388 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 NV · 924
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.
1250 GREAT BASIN BLVD, Ely, NV 89301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Anthem Blue Cross and Blue Shield 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

Tyler Robertson 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 ID8123390424
PECOS Enrollment IDI20190220003180
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 Reassignments

5

Medicare enrollment records show Tyler Robertson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Robertson Optometry LLC
Same address
Optometrist
1250 GREAT BASIN BLVD
Ely, NV 89301
  • Reassigned Medicare billing, Nevada enrollment
NPI 1467164079 (775) 289-2580
Girisgen & Kopolow Od PC
211 mi
Optometrist
1820 E LAKE MEAD BLVD STE A1
N Las Vegas, NV 89030
  • Reassigned Medicare billing, Nevada enrollment
  • 75 clinicians in this Medicare group
NPI 1881467629 (702) 452-2020
Kopolow & Girisgen Professional Corporation
212 mi
Optometrist
7361 W LAKE MEAD BLVD, STE 104
Las Vegas, NV 89128
  • Reassigned Medicare billing, Nevada enrollment
  • 63 clinicians in this Medicare group
NPI 1518904622 (702) 341-7254
Carnegie Indian Health Center
941 mi
Public Health, Federal
212 E. 4TH STREET
Carnegie, OK 73015
  • Reassigned Medicare billing, Texas enrollment
  • 59 clinicians in this Medicare group
NPI 1457459158 (580) 654-1100
Anadarko Indian Health Center
960 mi
Public Health, Federal
201 E PARKER MCKENZIE DRIVE
Anadarko, OK 73005
  • Reassigned Medicare billing, Texas enrollment
  • 177 clinicians in this Medicare group
NPI 1881637403 (405) 247-7900

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 10

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.
168 services168 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.
164 services110 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.
91 services91 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.
55 services40 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
52 services37 patients
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.
44 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89301 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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

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

ROBERTSON OPTOMETRY LLC
Optometrist
1250 GREAT BASIN BLVD
ELY, NV 89301
White Pine County (775) 289-2580

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 Tyler Robertson's NPI number?

The NPI number for Tyler Robertson is 1891216388. It was assigned to this individual provider in the NPPES registry on July 5, 2017.

Where is Tyler Robertson located?

Tyler Robertson practices at 1250 Great Basin Blvd, Ely, NV 89301. The listed phone number is (775) 289-2580.

What is Tyler Robertson's specialty?

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

Is Tyler Robertson enrolled in Medicare?

Yes. Tyler Robertson 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 organizations bill Medicare for Tyler Robertson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Robertson reassigns Medicare benefits to 5 organizations: Robertson Optometry LLC (Ely, NV), Girisgen & Kopolow Od PC (N Las Vegas, NV), Kopolow & Girisgen Professional Corporation (Las Vegas, NV), Carnegie Indian Health Center (Carnegie, OK) and Anadarko Indian Health Center (Anadarko, OK). Each 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 Tyler Robertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Robertson accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Tyler Robertson 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 Tyler Robertson was last updated on February 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.