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MICHAEL STEVEN BREZA OD
NPI 1003974981
Optometrist in Clinton Twp, MI

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
42550 GARFIELD RD, STE. 101, CLINTON TWP, MI 48038(586) 263-9708(586) 263-0280 Get Directions Write a Review

NPPES record last updated: March 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Steven Breza Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL STEVEN BREZA OD (NPI 1003974981) is an individual optometrist in Clinton Twp, Michigan, licensed in Michigan (4901003968) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1003974981
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMICHAEL STEVEN BREZACredential: OD
Location Address42550 GARFIELD RD, STE. 101Clinton Twp, MI 48038-1644
Mailing Address42550 Garfield Rd, Ste. 101Clinton Twp, MI 48038-1644 · (586) 263-9708 · Fax (586) 263-0280
Phone(586) 263-9708
Fax(586) 263-0280
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateDecember 4, 2006
Last NPPES UpdateMarch 11, 2008
✔ NPI 1003974981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 4901003968
Definition
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.
42550 GARFIELD RD, Clinton Twp, MI 48038
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Other Identifiers 6

Medicare PINE06315012MI
OtherOE06315MI · Health Alliance Plan
Medicare NSC0229820001MI
Medicare NSC0229820002MI
Medicare UPINU75542MI
Medicaid1003974981MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Steven Breza Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163522566
PECOS Enrollment IDI20070714000099
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
103 services89 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services24 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
20 services16 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
99%90 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
81%351 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%187 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
95%40 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS CARL HOSEY DPM
Podiatrist (Primary Podiatric Medicine)
42550 GARFIELD RD, STE 103
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-4411
DR. RYAN MICHAEL MURPHY D.P.M.
Podiatrist (Foot & Ankle Surgery)
42550 GARFIELD RD, SUITE 103
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-4411
OPTOMETRY, P.C.
Optometrist
42550 GARFIELD RD, SUITE 101
CLINTON TWP, MI 48038
Macomb County (586) 263-9708
MRS. KIMBERLY ANN DANTA-DAHL
Dentist (General Practice)
42550 GARFIELD RD, STE 104B
CLINTON TWP, MI 48038
Macomb County (586) 228-2800
HH REHAB ASSOCIATES INC
Physical Therapist
42550 GARFIELD RD, SUITE 103
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 566-8913
BHAVINBHAI PATEL PT
Physical Therapist
42550 GARFIELD RD, SUITE 103
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 412-4666
DR. DENISE NICOLE DUFFY O.D.
Optometrist
42550 GARFIELD RD, SUITE 101
CLINTON TWP, MI 48038
Macomb County (586) 263-9708
THOMAS C HOSEY DPM & ASSOCIATES PC
Podiatrist (Foot & Ankle Surgery)
42550 GARFIELD RD, SUITE 103
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-4411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Breza's NPI number?

The NPI number for Michael Breza is 1003974981. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Michael Breza located?

Michael Breza practices at 42550 Garfield Rd Ste. 101, Clinton Twp, MI 48038. The listed phone number is (586) 263-9708.

What is Michael Breza's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Michael Breza enrolled in Medicare?

Yes. Michael Breza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Breza accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Michael Breza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Breza was last updated on March 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.