Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013442094 Individual Practitioner Male Practitioner

Robert Ray Baltierra

Optometrist • Dexter, MI

Professional Overview & Biography Verified Profile Summary

Robert Baltierra is a registered healthcare professional specializing in Optometrist in Dexter, MI. Practice services are available at 8089 MAIN ST STE 1 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8089 Main St Ste 1

Dexter, MI 481301079

Telephone 7344249230
Fax 7344242576
Associated Practice Facility / Clinic
🏢 Main Street Optometry, Inc. Facility NPI 1083772008

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Dexter, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.5 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Dexter, MI (2032 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
21.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
28 28 $125.00 $103.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
15 15 $200.00 $159.29
99213 Established patient office or other outpatient visit, typically 15 minutes
13 12 $100.00 $70.09

Medical Specialties & State Licenses

CMS Verified: 2025-04-14
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MI 4901005154

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs
0C97655 (MI)

Secondary Practice Locations

907 E Main St Ste 1

Pinckney, MI 481698147

Phone: 7348787444

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1558346155

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location April 14, 2025

Registered at 8089 MAIN ST STE 1, DEXTER, MI 481301079 (Tel: 7344249230)

📍
Updated Business Mailing Address April 14, 2025

Registered at 8089 MAIN ST, DEXTER, MI 481301079 (Tel: 7344249230)

📍
Updated Business Mailing Address May 09, 2024

Registered at 8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 221822442 (Tel: 7038478899)

📍
Updated Business Mailing Address April 02, 2021

Registered at 1950 OLD GALLOWS RD STE 520, VIENNA, VA 221823970 (Tel: 7038478899)

📍
Updated Practice Location February 28, 2020

Registered at 44429 ANN ARBOR RD W, PLYMOUTH, MI 481703907 (Tel: 7344160348)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2020

Optometrist (License #4901005154 in MI)

NPI Profile Active April 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 27, 2017

Registered at 11513 WALNUT ST, WHITTIER, CA 906063423 (Tel: 5622010780)

📍
Updated Business Mailing Address April 27, 2017

Registered at 11513 WALNUT ST, WHITTIER, CA 906063423

👤
Provider Name / Credentials Updated April 27, 2017

Recorded as ROBERT BALTIERRA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 27, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013442094
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2017
Last Update: April 14, 2025
Sole Proprietor: Yes

Mailing Address

8089 Main St

Dexter, MI 481301079

Phone: 7344249230

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.