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DR. MARLA PRICE DO
NPI 1134188469
Ophthalmology in Wyandotte, MI

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
97.73/100
CMS Quality Rating
100 OAK ST, WYANDOTTE, MI 48192(734) 284-2444(734) 284-5155 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 21, 2017 (3 updates tracked since 2017).

About Dr. Marla Price Do NPPES

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

DR. MARLA PRICE DO (NPI 1134188469) is an individual ophthalmology provider in Wyandotte, Michigan, licensed in Michigan (5101008968) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (1984).

NPPES Registry Identity

NPI1134188469
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. MARLA PRICECredential: DO
Location Address100 OAK STWyandotte, MI 48192-5134
Mailing Address100 Oak StreetWyandotte, MI 48192-5134 · (734) 284-2444 · Fax (734) 284-5155
Phone(734) 284-2444
Fax(734) 284-5155
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1984
Enumeration DateMarch 23, 2006
Last NPPES UpdateNovember 28, 20233 updates tracked since enumeration
NPPES CertifiedNovember 28, 2023
✔ NPI 1134188469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MI · 5101008968
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.
100 OAK ST, Wyandotte, MI 48192
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Dr. Marla Price Do 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 ID941383061
PECOS Enrollment IDI20080213000357
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 9

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.
446 services432 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.
132 services125 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
118 services93 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
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
83 services81 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
65 services64 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48192 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.

97.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95.46
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
100%625 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
91%135 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
95%3,177 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
95%342 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%224 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,666 patients
Patients totalRate: 0% · 1,666 patients
0%1,666 patients5/55-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 5

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

MARLA J PRICE DO PLLC
Ophthalmology
100 OAK ST
WYANDOTTE, MI 48192
Wayne County (734) 284-2444
HANNAH TEAR SPIEGEL OD
Optometrist
100 OAK ST
WYANDOTTE, MI 48192
Wayne County (734) 284-2444
DR. THOMAS J BYRD MD
Ophthalmology
100 OAK ST
WYANDOTTE, MI 48192
Wayne County (734) 284-2444
XING DONG CHEN MD, MSE
Ophthalmology
100 OAK ST
WYANDOTTE, MI 48192
Wayne County (734) 284-2444
DR. KENNETH BARTLEY WELSH M.D.
Ophthalmology
100 OAK ST
WYANDOTTE, MI 48192
Wayne County (173) 428-4244

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 Marla Price's NPI number?

The NPI number for Marla Price is 1134188469. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Marla Price located?

Marla Price practices at 100 Oak St, Wyandotte, MI 48192. The listed phone number is (734) 284-2444.

What is Marla Price's specialty?

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

Is Marla Price enrolled in Medicare?

Yes. Marla Price 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 Marla Price accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 7 other insurers list Marla Price 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 Marla Price was last updated on November 28, 2023. 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.