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DR. MICHAEL THOMAS O'NEILL JR. O.D
NPI 1215317177
Optometrist in Warren, PA

Active since June 05, 2015PECOS EnrolledAccepts Medicare Assignment
80.28/100
CMS Quality Rating
2 FARM COLONY DR, WARREN, PA 16365(814) 726-2303 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 12, 2021, Nov 25, 2020 (2 updates tracked since 2020).

About Dr. Michael Thomas O'neill Jr. O.d NPPES

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

DR. MICHAEL THOMAS O'NEILL JR. O.D (NPI 1215317177) is an individual optometrist in Warren, Pennsylvania, licensed in Pennsylvania (OEG003027) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Nova Southeastern Univ College Of Dental Medicine (2015).

NPPES Registry Identity

NPI1215317177
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL THOMAS O'NEILL JR.Credential: O.D
Location Address2 FARM COLONY DRWarren, PA 16365-5206
Mailing Address2 Farm Colony DrWarren, PA 16365-5206 · (814) 726-2303
Phone(814) 726-2303
Sole ProprietorNo
Medical School CMSNova Southeastern Univ College Of Dental MedicineGraduated 2015
Enumeration DateJune 5, 2015
Last NPPES UpdateMay 12, 20212 updates tracked since enumeration
NPPES CertifiedApril 19, 2021
✔ NPI 1215317177 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 PA · OEG003027
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.
2 FARM COLONY DR, Warren, PA 16365
Open in Google Maps ↗

Secondary Practice Locations 4

Location 12605 W State StOlean, NY 14760-1824 · Phone (716) 484-6700 · Fax (716) 487-0166
Location 22A Park WaySeneca, PA 16346 · Phone (716) 484-6700 · Fax (716) 487-0166
Location 3462 Fairmount AveJamestown, NY 14701-2721 · Phone (716) 484-6700 · Fax (716) 487-0166
Location 41136 Central AveDunkirk, NY 14048-3423 · Phone (716) 484-6700 · Fax (716) 487-0166

Other Identifiers 2

Medicaid103028204PA
Medicaid04344161NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

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. Michael Thomas O'neill Jr. O.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 ID7315259637
PECOS Enrollment IDI20150630000153, I20150717000020
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 Michael O'neill reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Eye Care Specialists, P.C.
Same address
Ophthalmology
2 FARM COLONY DRIVE
Warren, PA 16365
  • Reassigned Medicare billing, New York and Pennsylvania enrollments
  • 7 clinicians in this Medicare group
NPI 1528114311 (814) 726-2303

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 11

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.
69 services65 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.
58 services51 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.
52 services52 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.
51 services47 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.
41 services41 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.
36 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16365 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

80.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost17.63

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%65 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
49%78 patients2/55-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 8

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

JOHN STRONG CRNA
Nurse Anesthetist, Certified Registered
2 FARM COLONY DR
WARREN, PA 16365
Warren County (716) 484-6700
RALPH G. WITCHEY JR. O.D.
Optometrist
2 FARM COLONY DR
WARREN, PA 16365
Warren County (716) 484-6700
SAMANTHA JENKINS O.D.
Optometrist
2 FARM COLONY DR
WARREN, PA 16365
Warren County (814) 726-2303
DR. JULIETTE MARIE STENZ M.D.
Ophthalmology
2 FARM COLONY DR
WARREN, PA 16365
Warren County (814) 726-2303
MARK A MORICI CRNA
Nurse Anesthetist, Certified Registered
2 FARM COLONY DR
WARREN, PA 16365
Warren County (814) 726-2303
BEAU FROEBEL MD
Ophthalmology
2 FARM COLONY DR
WARREN, PA 16365
Warren County (716) 484-6700
MICHAEL VINCENT LANDY OD
Optometrist
2 FARM COLONY DR
WARREN, PA 16365
Warren County (814) 726-2303
DARBEE RAE HARRINGTON PT, DPT
Physical Therapist
2 FARM COLONY DR
WARREN, PA 16365
Warren County (814) 406-7384

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 O'neill's NPI number?

The NPI number for Michael O'neill is 1215317177. It was assigned to this individual provider in the NPPES registry on June 5, 2015.

Where is Michael O'neill located?

Michael O'neill practices at 2 Farm Colony Dr, Warren, PA 16365. The listed phone number is (814) 726-2303.

What is Michael O'neill's specialty?

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

Is Michael O'neill enrolled in Medicare?

Yes. Michael O'neill 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 organization bills Medicare for Michael O'neill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael O'neill reassigns Medicare benefits to Community Eye Care Specialists, P.C. (Warren, PA). 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 Michael O'neill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael O'neill accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Michael O'neill 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 O'neill was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.