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DR. TROY JONATHAN LEBARON O.D.
NPI 1124210091
Optometrist in Grand Rapids, MI

Active since August 15, 2007PECOS Enrolled
6750 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508(616) 656-0505(616) 656-2750 Get Directions Write a Review

NPPES record last updated: April 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Troy Jonathan Lebaron O.d. NPPES

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

DR. TROY JONATHAN LEBARON O.D. (NPI 1124210091) is an individual optometrist in Grand Rapids, Michigan, licensed in Michigan (4901004426) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124210091
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. TROY JONATHAN LEBARONCredential: O.D.
Location Address6750 KALAMAZOO AVE SEGrand Rapids, MI 49508-7897
Mailing Address6075 Ada Dr SeAda, MI 49301-7547 · (616) 469-0056 · Fax (616) 656-2750
Phone(616) 656-0505
Fax(616) 656-2750
Sole ProprietorYes
Enumeration DateAugust 15, 2007
Last NPPES UpdateApril 7, 2024
NPPES CertifiedApril 7, 2024
✔ NPI 1124210091 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 · 4901004426
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.
6750 KALAMAZOO AVE SE, Grand Rapids, MI 49508
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Troy Jonathan Lebaron O.d. 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 Reassignment

Medicare enrollment records show Troy Lebaron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Troy J. Lebaron Od PLLC
5.8 mi
Optometrist
4326 28TH ST SE
Kentwood, MI 49512
  • Reassigned Medicare billing, Michigan enrollment
NPI 1417700824 (616) 949-7442

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 49508 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 2

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

FS GRAND RAPIDS SOUTH, LLC
Prosthetic/Orthotic Supplier
6750 KALAMAZOO AVE SE, SUITE E
GRAND RAPIDS, MI 49508
Kent County (616) 698-7200
PROFESSIONAL EYECARE OF WEST MICHIGAN LLC
Optometrist
6750 KALAMAZOO AVE SE, SUITE C
GRAND RAPIDS, MI 49508
Kent County (616) 656-0505

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 Troy Lebaron's NPI number?

The NPI number for Troy Lebaron is 1124210091. It was assigned to this individual provider in the NPPES registry on August 15, 2007.

Where is Troy Lebaron located?

Troy Lebaron practices at 6750 Kalamazoo Ave SE, Grand Rapids, MI 49508. The listed phone number is (616) 656-0505.

What is Troy Lebaron's specialty?

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

Is Troy Lebaron enrolled in Medicare?

Yes. Troy Lebaron is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Troy Lebaron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Troy Lebaron reassigns Medicare benefits to Troy J. Lebaron Od PLLC (Kentwood, MI). The 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 Troy Lebaron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Troy Lebaron was last updated on April 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.