DR. ROXANNE ROTTIERS – Optometrist, NPI 1205212131

DR. ROXANNE ROTTIERS is a healthcare provider. based in Gaylord, Michigan. specializing in OPTOMETRY. They hold a License No. 4901004926 (MI). The NPI Number for DR. ROXANNE ROTTIERS is 1205212131

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROXANNE ROTTIERS
NPI
1205212131
Phone
(989) 732-6455
Address
PO BOX 1665
Enumeration Date
3 August 2015
Last Update Date
3 August 2015

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
9897326455
Graduation Year
2015 (11 years ago)
PAC ID
2264746932
Group Practice PAC ID
6305947458
Professional Enrollment ID
I20150810000527
Address ID
MI497351525GA350XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

Provider Addresses for DR. ROXANNE ROTTIERS

  • PO BOX 1665

    GAYLORD, MI 497345665

    Phone: (989) 732-6455

    Fax: (989) 732-1102

    Type: Mailing

  • 350 W NORTH ST

    GAYLORD, MI 497351525

    Phone: (989) 732-6455

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $137.

Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.

Last reported payment date: 2024-03-19 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($104).

Total Amount

$137

General + Research + Ownership

Payments

2

Total payment records

General Amount

$137

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-08-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150810000527IOptometryMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system3535$0
92004New patient complete exam of visual system1313$0
92133Imaging of optic nerve1212$0
View full utilization report →

Insurance plans in this area (ZIP 49734)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305947458View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI

Reviews

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Frequently asked questions

What is the standard ID for DR. ROXANNE ROTTIERS in the U.S.?
In the U.S., DR. ROXANNE ROTTIERS is identified by NPI 1205212131.
Does the public listing show DR. ROXANNE ROTTIERS as active?
DR. ROXANNE ROTTIERS's NPI record reflects an active status in NPPES.
What does the directory say DR. ROXANNE ROTTIERS does?
Insurance directories may phrase it differently, but here DR. ROXANNE ROTTIERS maps to Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. ROXANNE ROTTIERS?
DR. ROXANNE ROTTIERS shows a connection to Gaylord, Michigan in registry-derived data.
Can I export DR. ROXANNE ROTTIERS's record?
You can download the official NPPES record; we summarize key fields for readability.

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