Active NPI 1285099093 Individual Practitioner Male Practitioner

Dr. Kellen Robertson , OD

Optometrist • Spokane, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kellen Robertson, OD is a certified Optometrist practicing in Spokane, WA. With approximately 10 years of clinical experience since graduating from Pacific University - College Of Optometry in 2016, Dr. Robertson delivers high-quality medical care to the local community at 412 E 30TH AVE.

Dr. Robertson is affiliated with Eyes For Life P S and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

412 E 30th Ave

Spokane, WA 992032556

Telephone 5094487300

Fax 5094487382

Associated Practice Facility / Clinic

🏢 Eyes For Life Ps Facility NPI 1023299856

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Spokane, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -8.9 yrs vs City Avg

City Avg: 18.9 Yrs

State Avg: 20.4 Yrs

Regional Practice Density

90 Specialists

Practicing in Spokane, WA (1692 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

35.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Robertson (10 Years) 10 Yrs

Spokane Specialty Average (18.9 Years) 18.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	83	62	$100.00	$90.72
92014 Established patient complete exam of visual system	62	61	$143.00	$126.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	30	$151.83	$127.69
92133 Imaging of optic nerve	21	18	$150.00	$34.50
92134 Imaging of retina	20	19	$150.00	$40.06
92004 New patient complete exam of visual system	19	19	$190.00	$150.06
92083 Exam of visual field with extended testing	19	18	$115.00	$64.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$230.00	$165.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	72	50	$100.00	$90.05
92014 Established patient complete exam of visual system	59	56	$143.00	$127.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	33	$150.00	$127.19
92133 Imaging of optic nerve	27	18	$150.00	$34.72
92250 Photography of the retina	22	20	$118.00	$37.41
92083 Exam of visual field with extended testing	22	15	$115.00	$63.22
92134 Imaging of retina	21	19	$150.00	$40.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$230.00	$165.43
92004 New patient complete exam of visual system	16	16	$190.00	$150.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	51	39	$100.00	$90.82
92014 Established patient complete exam of visual system	49	49	$143.00	$128.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	27	$150.00	$128.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$230.00	$166.22
92134 Imaging of retina	20	18	$150.00	$40.83
92133 Imaging of optic nerve	19	15	$150.00	$35.01
92250 Photography of the retina	18	15	$118.00	$37.44
92083 Exam of visual field with extended testing	15	13	$115.00	$63.63
92004 New patient complete exam of visual system	15	15	$190.00	$151.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	53	37	$100.00	$92.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	32	$150.00	$130.78
92014 Established patient complete exam of visual system	28	28	$143.00	$129.04
92250 Photography of the retina	27	20	$118.00	$39.67
92133 Imaging of optic nerve	18	11	$150.00	$35.72
92134 Imaging of retina	16	15	$150.00	$41.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$230.00	$168.87
92004 New patient complete exam of visual system	11	11	$190.00	$153.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	64	31	$100.00	$75.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	27	$150.00	$110.09
92014 Established patient complete exam of visual system	26	26	$143.00	$128.38
92250 Photography of the retina	23	20	$118.00	$45.94
92083 Exam of visual field with extended testing	20	12	$115.00	$64.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	43	29	$100.00	$74.37
92014 Established patient complete exam of visual system	29	29	$143.00	$127.86
92004 New patient complete exam of visual system	24	24	$190.00	$152.28
92134 Imaging of retina	13	11	$150.00	$41.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	51	33	$100.00	$73.27
92014 Established patient complete exam of visual system	21	21	$143.00	$127.47
66984 Removal of cataract with insertion of lens	17	11	$238.00	$129.45
92004 New patient complete exam of visual system	14	14	$190.00	$153.13

Medical Specialties & State Licenses

CMS Verified: 2021-09-17

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WA OD60649654

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

Medicaid State Provider ID

2075649 (WA)

Hospital & Practice Group Affiliations

Eyes For Life P S

412 E 30th Ave, Spokane, WA 992032556

Phone: 5094487300

Secondary Practice Locations

1295 Driscoll Ridge Rd

Troy, ID 838719603

Phone: 2086690015

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Heavin Maier , OD

Optometrist

NPI 1861478869

Doctor of Optometry

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location September 17, 2021

Registered at 412 E 30TH AVE, SPOKANE, WA 992032556 (Tel: 5094487300)

📍

Updated Practice Location August 16, 2018

Registered at 412 E 30TH AVE, SPOKANE, WA 99203 (Tel: 5094487300)

📍

Updated Business Mailing Address August 16, 2018

Registered at 412 E 30TH AVE, SPOKANE, WA 992032556 (Tel: 5094487300)

✅

NPI Profile Active June 28, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 28, 2017

Registered at 3022 E 57TH AVE STE 11, SPOKANE, WA 992237033 (Tel: 5094487300)

📍

Updated Business Mailing Address June 28, 2017

Registered at 1295 DRISCOLL RIDGE RD, TROY, ID 838719603 (Tel: (208) 669-0015)

👤

Provider Name / Credentials Updated June 28, 2017

Recorded as KELLEN ROBERTSON, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2017

Optometrist (License #OD60649654 in WA)

✅

NPI Profile Active December 21, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location December 21, 2015

Registered at 1295 DRISCOLL RIDGE RD, TROY, ID 838719603 (Tel: 2086690015)

📍

Updated Business Mailing Address December 21, 2015

Registered at 1295 DRISCOLL RIDGE RD, TROY, ID 838719603 (Tel: 2086690015)

👤

Provider Name / Credentials Updated December 21, 2015

Recorded as KELLEN ROBERTSON, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2015

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration December 21, 2015

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: 1285099093

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 21, 2015

Last Update: September 17, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

412 E 30th Ave

Spokane, WA 992032556

Phone: 5094487300

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.