DR. MONICA Y. ALLEN M.D.
NPI 1164460283
Ophthalmology in Duluth, GA

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
3650 STEVE REYNOLDS BLVD., KAISER PERMANENTE GWINNETT MEDICAL CENTER, DULUTH, GA 30096(313) 577-8900 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Monica Y. Allen M.d. NPPES

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

DR. MONICA Y. ALLEN M.D. (NPI 1164460283) is an individual ophthalmology provider in Duluth, Georgia, licensed in Georgia (066561) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1994).

NPPES Registry Identity

NPI1164460283
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. MONICA Y. ALLENCredential: M.D.
Location Address3650 STEVE REYNOLDS BLVD., KAISER PERMANENTE GWINNETT MEDICAL CENTERDuluth, GA 30096
Mailing Address12200 Anapolis Road, Suite 116Glenn Dale, MD 20769 · (301) 805-4664
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1994
Enumeration DateJune 2, 2006
Last NPPES UpdateSeptember 29, 2022
NPPES CertifiedSeptember 29, 2022
✔ NPI 1164460283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in GA · 066561✔ Licensed in MI · 4301064204
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.
3650 STEVE REYNOLDS BLVD., Duluth, GA 30096

Other Names 1

Former Name (1)Dr. Monica Y. Alexander

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

Dr. Monica Y. Allen M.d. 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 ID6608764568
PECOS Enrollment IDI20210913000629
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 Monica Allen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Care Medicine
3800 RESERVOIR RD NW
Washington, DC 20007
  • Reassigned Medicare billing, District of Columbia enrollment
  • 3,530 clinicians in this Medicare group
Ophthalmology
110 IRVING STREET, NW, SUITE 1A-19
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • 74 clinicians in this Medicare group
Ophthalmology
12200 ANNAPOLIS RD, SUITE 116
Glenn Dale, MD 20769
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2 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 7

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 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.
146 services111 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services50 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).
34 services34 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.
26 services26 patients
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.
25 services25 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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30096 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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 13

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

Pediatrics
3650 STEVE REYNOLDS BLVD., KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096
Emergency Medicine
3650 STEVE REYNOLDS BLVD., KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096
Pediatrics
3650 STEVE REYNOLDS BLVD., KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096
Psychiatry & Neurology (Psychiatry)
3650 STEVE REYNOLDS BLVD., KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096
Internal Medicine
3650 STEVE REYNOLDS BLVD.
DULUTH, GA 30096
Pediatrics
3650 STEVE REYNOLDS BLVD., KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096
Psychiatry & Neurology (Neurology)
3650 STEVE REYNOLDS BLVD., KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096
Pediatrics
3650 STEVE REYNOLDS BLVD., KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096

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 Monica Allen's NPI number?

The NPI number for Monica Allen is 1164460283. It was assigned to this individual provider in the NPPES registry on June 2, 2006. The provider is also known as Dr. Monica Y. Alexander.

Where is Monica Allen located?

Monica Allen practices at 3650 Steve Reynolds Blvd. Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096. The listed phone number is (313) 577-8900.

What is Monica Allen's specialty?

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

Is Monica Allen enrolled in Medicare?

Yes. Monica Allen 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 Monica Allen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Allen reassigns Medicare benefits to 3 organizations: Medstar Medical Group II LLC (Washington, DC), Washington National Eye Center (Washington, DC) and Advanced Eye Care Medical Center, PA (Glenn Dale, MD). 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 Monica Allen'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 Monica Allen was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.