MICHAEL CAMPBELL MD
NPI 1073717328
Ophthalmology in Orchard Park, NY

Active since June 12, 2007PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
3151 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127(716) 674-6030 Get Directions Write a Review

NPPES record last updated: April 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Campbell Md NPPES

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

MICHAEL CAMPBELL MD (NPI 1073717328) is an individual ophthalmology provider in Orchard Park, New York, licensed in New York (266837) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (2006).

NPPES Registry Identity

NPI1073717328
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMICHAEL CAMPBELLCredential: MD
Location Address3151 SOUTHWESTERN BLVDOrchard Park, NY 14127-1212
Mailing Address3151 Southwestern BlvdOrchard Park, NY 14127-1212
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2006
Enumeration DateJune 12, 2007
Last NPPES UpdateApril 5, 2018
NPI 1073717328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NY · 266837
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
3151 SOUTHWESTERN BLVD, Orchard Park, NY 14127

Accepted 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 Campbell Md 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 ID9638361561
PECOS Enrollment IDI20130309000095
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 13

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
451 services439 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
113 services99 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
100 services60 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.
89 services86 patients
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.
85 services85 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.
84 services72 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14127 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 $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost75.98

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
96%81 patients4/55-star benchmark: 100%
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 7

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

Optometrist
3151 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
Optometrist
3151 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
Ophthalmology
3151 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
Ophthalmology
3151 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
Optometrist
3151 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
Ophthalmology
3151 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
Ophthalmology
3151 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127

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 Campbell's NPI number?

The NPI number for Michael Campbell is 1073717328. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Michael Campbell located?

Michael Campbell practices at 3151 Southwestern Blvd, Orchard Park, NY 14127. The listed phone number is (716) 674-6030.

What is Michael Campbell's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Michael Campbell enrolled in Medicare?

Yes. Michael Campbell 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 Campbell accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Michael Campbell 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 Campbell was last updated on April 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.