LEEMOR BASSE ROTBERG (MD) – Ophthalmology Physician, NPI 1538121504

LEEMOR BASSE ROTBERG (MD) is a healthcare provider. based in Royal oak, Michigan. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 4301078090 (MI). The NPI Number for LEEMOR BASSE ROTBERG (MD) is 1538121504

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
LEEMOR BASSE ROTBERG (MD)
NPI
1538121504
Phone
(248) 551-2020
Address
3535 W 13 Mile Rd Ste 555
Enumeration Date
5 April 2006
Last Update Date
23 October 2020

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2485387400
Graduation Year
2000 (26 years ago)
PAC ID
0143289496
Group Practice PAC ID
0244338127
Professional Enrollment ID
I20070531000573
Address ID
MI483223606WE7001XRDXX401

Contacts

Secure Messaging
lrotberg81858@direct.beaumont.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

845 OPHTHALMOLOGY in MI

Provider Addresses for LEEMOR BASSE ROTBERG (MD)

  • 3535 W 13 Mile Rd Ste 555

    Royal Oak, MI 480736770

    Phone: (248) 551-2020

    Fax: (248) 551-2267

    Type: Location

  • Orchard Lake Road, West Bloomfield Township, Oakland County, Michigan, 48334, United States

    #297

    WEST BLOOMFIELD, MI 48322

    Phone: (248) 254-8140

    Fax: (248) 254-8150

    Type: Mailing

  • 22731, Newman Street, Southwestern Outer Drive, West Dearborn Downtown, Dearborn, Wayne County, Michigan, 48124, United States

    SUITE 245

    DEARBORN, MI 48124

    Phone: (313) 561-1777

    Fax: (313) 561-8044

    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 $156.

Total Amount is formed as General ($156) + Research ($0) + Ownership ($0) = $156.

Last reported payment date: 2023-09-20 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($156).

Total Amount

$156

General + Research + Ownership

Payments

2

Total payment records

General Amount

$156

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-20

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: 2007-05-31

PECOS data refreshed: 2026-06-15

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
I20070531000573IOphthalmologyMITBD

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
92060Exam to measure eye deviation and range of motion2315$0
99213Established patient office or other outpatient visit, 20-29 minutes1611$0
View full utilization report →

Insurance plans in this area (ZIP 48073)

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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: 0244338127View full group profile
NameSpecialtyState
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
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
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 YPA
O P H T H A L M O L O G YMI

Reviews

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Frequently asked questions

What unique ID ties claims to LEEMOR BASSE ROTBERG (MD)?
NPI 1538121504 is assigned to LEEMOR BASSE ROTBERG (MD) under the national enumeration system.
Is LEEMOR BASSE ROTBERG (MD)'s NPI currently valid?
The extract we use shows LEEMOR BASSE ROTBERG (MD) as active.
What does LEEMOR BASSE ROTBERG (MD) treat or focus on?
Patients typically see LEEMOR BASSE ROTBERG (MD) under the specialty Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What location shows for LEEMOR BASSE ROTBERG (MD)?
We surface Royal Oak, Michigan for LEEMOR BASSE ROTBERG (MD) based on available NPPES addresses.
What if Royal Oak, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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