DR. MICHAEL JOHN ROTHEKER (O.D.) – Optometrist, NPI 1316935208
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,126 OPTOMETRY in IN
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Provider Addresses for DR. MICHAEL JOHN ROTHEKER (O.D.)
4121, South Michigan Street, South Bend, Saint Joseph County, Indiana, 46614, United States
SOUTH BEND, IN 466142545
Phone: (574) 291-9200
Fax: (574) 299-4423
Type: Mailing
23, Gordon Road, South Bend, Pacific County, Washington, 98577, United States
SOUTH BEND, IN 46635
Phone: (574) 234-7600
Fax: (574) 234-8408
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $962.
Total Amount is formed as General ($962) + Research ($0) + Ownership ($0) = $962.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($230).
Total Amount
$962
General + Research + Ownership
Payments
22
Total payment records
General Amount
$962
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mallinckrodt Hospital Products Inc. | $230 |
| Alcon Vision LLC | $175 |
| Apellis Pharmaceuticals, Inc. | $147 |
| Ocular Therapeutix, Inc. | $91 |
| Glaukos Corporation | $68 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-08-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070816000695 | I | Optometry | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 251 | 234 | $0 |
| 92134 | Imaging of retina | 157 | 141 | $0 |
| 92012 | Established patient problem focused exam of visual system | 121 | 97 | $0 |
| 92133 | Imaging of optic nerve | 116 | 109 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 99 | 97 | $0 |
Insurance plans in this area (ZIP 46614)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IN | |
| O P H T H A L M O L O G Y | IN | |
| O P T O M E T R Y | IN | |
| O P H T H A L M O L O G Y | IN | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | IN | |
| O P H T H A L M O L O G Y | IN | |
| O P H T H A L M O L O G Y | FL | |
| Certified Registered Nurse Anesthetist (Crna) | IN | |
| O P T O M E T R Y | IN |
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