DR. MICHELLE MARIE VERPLANCK D.O.
NPI 1205870896
Ophthalmology in Brighton, MI

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
87.72/100
CMS Quality Rating
10201 GRAND RIVER RD, BRIGHTON, MI 48116(810) 229-3363(810) 229-5532 Get Directions Write a Review

NPPES record last updated: March 5, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michelle Marie Verplanck D.o. NPPES

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

DR. MICHELLE MARIE VERPLANCK D.O. (NPI 1205870896) is an individual ophthalmology provider in Brighton, Michigan, licensed in Michigan (5101010802) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (1988).

NPPES Registry Identity

NPI1205870896
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. MICHELLE MARIE VERPLANCKCredential: D.O.
Location Address10201 GRAND RIVER RDBrighton, MI 48116-9591
Mailing Address10201 Grand River RdBrighton, MI 48116-9591 · (810) 229-3363 · Fax (810) 229-5532
Fax(810) 229-5532
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 1988
Enumeration DateJune 15, 2006
Last NPPES UpdateMarch 5, 2010
NPI 1205870896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MI · 5101010802
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.
10201 GRAND RIVER RD, Brighton, MI 48116

Other Identifiers 2

Medicare UPINF83231MI
Medicare PINP58790002MI

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

Dr. Michelle Marie Verplanck D.o. 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 ID7214001825
PECOS Enrollment IDI20080730000792
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 8

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.
192 services184 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.
174 services125 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).
113 services113 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.
112 services110 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.
102 services100 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
75 services74 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48116 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.

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.

87.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability86
Improvement Activities40
Cost70.75

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
100%42 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 3

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

Optometrist
10201 GRAND RIVER RD, KENSINGTON OPHTHALMOLOGY
BRIGHTON, MI 48116
Ophthalmology
10201 GRAND RIVER RD
BRIGHTON, MI 48116
Ophthalmology
10201 GRAND RIVER RD
BRIGHTON, MI 48116

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 Michelle Verplanck's NPI number?

The NPI number for Michelle Verplanck is 1205870896. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Michelle Verplanck located?

Michelle Verplanck practices at 10201 Grand River Rd, Brighton, MI 48116. The listed phone number is (810) 229-3363.

What is Michelle Verplanck's specialty?

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

Is Michelle Verplanck enrolled in Medicare?

Yes. Michelle Verplanck 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 Michelle Verplanck accept?

Health plans from Priority Health and Providence Health Plan list Michelle Verplanck 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 Michelle Verplanck was last updated on March 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.