Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAEL PHILIP CEREAN OD
NPI 1023534922
Optometrist in Boerne, TX

Active since August 22, 2017PECOS Enrolled
70.67/100
CMS Quality Rating
623 STATE HIGHWAY 46 E, BOERNE, TX 78006(832) 527-4179 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2026, Mar 17, 2018, Aug 22, 2017 (3 updates tracked since 2017).

About Michael Philip Cerean Od NPPES

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

MICHAEL PHILIP CEREAN OD (NPI 1023534922) is an individual optometrist in Boerne, Texas, licensed in Texas (9202TG) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023534922
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMICHAEL PHILIP CEREANCredential: OD
Location Address623 STATE HIGHWAY 46 EBoerne, TX 78006-5757
Mailing Address31574 ScarteenFair Oaks Ranch, TX 78015-4068 · (832) 527-4179
Sole ProprietorNo
Enumeration DateAugust 22, 2017
Last NPPES UpdateOctober 12, 20263 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1023534922 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 TX · 9202TG
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.
623 STATE HIGHWAY 46 E, Boerne, TX 78006

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Philip Cerean Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Cerean reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
623 STATE HIGHWAY 46 E
Boerne, TX 78006
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Eagles Nest Eye Clinic
Ophthalmology
800 MCCULLOUGH AVE
San Antonio, TX 78215
  • Reassigned Medicare billing, Texas enrollment
  • 44 clinicians in this Medicare group
Optometrist
200 WHITEMAN AVE
Elkins, WV 26241
  • Reassigned Medicare billing, Texas enrollment
  • 14 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
53 services53 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
49 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78006 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

70.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.36
Promoting Interoperability0
Improvement Activities40
Cost97.23

Other Providers at the Same Location NPPES 5

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

Optometrist
623 STATE HIGHWAY 46 E
BOERNE, TX 78006
Counselor (Professional)
623 STATE HIGHWAY 46 E
BOERNE, TX 78006
Marriage & Family Therapist
623 STATE HIGHWAY 46 E
BOERNE, TX 78006
Marriage & Family Therapist
623 STATE HIGHWAY 46 E
BOERNE, TX 78006
Social Worker
623 STATE HIGHWAY 46 E
BOERNE, TX 78006

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 Cerean's NPI number?

The NPI number for Michael Cerean is 1023534922. It was assigned to this individual provider in the NPPES registry on August 22, 2017.

Where is Michael Cerean located?

Michael Cerean practices at 623 State Highway 46 E, Boerne, TX 78006. The listed phone number is (832) 527-4179.

What is Michael Cerean's specialty?

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

Is Michael Cerean enrolled in Medicare?

Yes. Michael Cerean is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Cerean's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Cerean reassigns Medicare benefits to 3 organizations: Eagle's Nest Eye Clinic (Boerne, TX), San Antonio Eye Center, PA (San Antonio, TX) and Excel Eyecare, LLC (Elkins, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Cerean's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Cerean accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 10 other insurers list Michael Cerean 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 Cerean was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.