MAKAYLA JO PORTER OD
NPI 1053988394
Optometrist in Grandville, MI

Active since June 07, 2021PECOS EnrolledAccepts Medicare Assignment
4763 WILSON AVE SW STE G&H, GRANDVILLE, MI 49418(616) 261-4811 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Makayla Jo Porter Od NPPES

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

MAKAYLA JO PORTER OD (NPI 1053988394) is an individual optometrist in Grandville, Michigan, licensed in Michigan (4901005517) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2021).

NPPES Registry Identity

NPI1053988394
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMAKAYLA JO PORTERCredential: OD
Location Address4763 WILSON AVE SW STE G&HGrandville, MI 49418-9015
Mailing Address2056 Morgan RunHudsonville, MI 49426 · (812) 240-9888
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2021
Enumeration DateJune 7, 2021
NPPES CertifiedMay 20, 2021
✔ NPI 1053988394 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 · 4901005517
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.
4763 WILSON AVE SW STE G&H, Grandville, MI 49418

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Makayla Jo Porter 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 ID3577099589
PECOS Enrollment IDI20241212004139, I20241214000186, I20241216000020, I20250513002774, I20251030001498
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

16

Medicare enrollment records show Makayla Porter reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
4555 WILSON AVE SW
Grandville, MI 49418
  • Reassigned Medicare billing, Michigan enrollment
  • 144 clinicians in this Medicare group
Eyewear Supplier
2860 S GREEN BAY RD STE 250
Mount Pleasant, WI 53406
  • Reassigned Medicare billing, Wisconsin enrollment
  • 187 clinicians in this Medicare group
Optometrist
4000 N OAKLAND AVE
Shorewood, WI 53211
  • Reassigned Medicare billing, Wisconsin, Illinois, Michigan, District of Columbia and Maryland enrollments
  • Also billed through NPI 1831115906 (Illinois), NPI 1366822991 (Michigan), NPI 1417225707 (District of Columbia), NPI 1104847912 (Maryland)
  • 80 clinicians in this Medicare group
Clinic/Center
4814 N CLARK ST STE B
Chicago, IL 60640
  • Reassigned Medicare billing, Illinois enrollment
  • 20 clinicians in this Medicare group
Optometrist
904 W NORTH AVE
Melrose Park, IL 60160
  • Reassigned Medicare billing, Illinois enrollment
  • 21 clinicians in this Medicare group
Optometrist
26140 INGERSOL DR
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 61 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
15400 W MCNICHOLS RD
Detroit, MI 48235
  • Reassigned Medicare billing, Michigan enrollment
  • 20 clinicians in this Medicare group
Optician
232 S COURTNEY ST
Rhinelander, WI 54501
  • Reassigned Medicare billing, Wisconsin enrollment
  • 19 clinicians in this Medicare group
Optometrist
216 N THIRD ST, STE B
Greenville, IL 62246
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Greenville Eye Glass & Contacts Inc
  • 12 clinicians in this Medicare group
Optometrist
5500 MAIN ST STE 102
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 95 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49418 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES

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

Technician/Technologist (Optician)
4763 WILSON AVE SW STE G&H
GRANDVILLE, MI 49418

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 Makayla Porter's NPI number?

The NPI number for Makayla Porter is 1053988394. It was assigned to this individual provider in the NPPES registry on June 7, 2021.

Where is Makayla Porter located?

Makayla Porter practices at 4763 Wilson Ave SW Ste G&h, Grandville, MI 49418. The listed phone number is (616) 261-4811.

What is Makayla Porter's specialty?

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

Is Makayla Porter enrolled in Medicare?

Yes. Makayla Porter 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.

Which organizations bill Medicare for Makayla Porter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Makayla Porter reassigns Medicare benefits to 16 organizations: Myeyedr Optometry Of Michigan, LLC (Grandville, MI), Shoptikal LLC (Mount Pleasant, WI), Visionworks, Inc. (Shorewood, WI), Aea Eye Care LLC (Chicago, IL), Melrose Park Eye Care LLC (Melrose Park, IL) and 11 more organizations, listed in the Medicare section above. 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 Makayla Porter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Makayla Porter accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan and Ambetter from Meridian and 18 other insurers list Makayla Porter 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 Makayla Porter was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.