NICHOLAS L BEHUNIN M.D.
NPI 1235575242
Ophthalmology in Ann Arbor, MI

Active since May 16, 2013PECOS EnrolledAccepts Medicare Assignment
88.72/100
CMS Quality Rating
1000 WALL STREET, ANN ARBOR, MI 48105(734) 764-4190 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2019, Jul 14, 2017 (2 updates tracked since 2017).

About Nicholas L Behunin M.d. NPPES

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

NICHOLAS L BEHUNIN M.D. (NPI 1235575242) is an individual ophthalmology provider in Ann Arbor, Michigan, licensed in Michigan (4301111924) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with St. George Regional Hospital, and is a graduate of University Of Utah School Of Medicine (2013).

NPPES Registry Identity

NPI1235575242
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameNICHOLAS L BEHUNINCredential: M.D.
Location Address1000 WALL STREETAnn Arbor, MI 48105-1912
Mailing Address617 E Riverside Dr, Ste 101Saint George, UT 84790-8720 · (435) 628-4507
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2013
Enumeration DateMay 16, 2013
Last NPPES UpdateAugust 28, 20192 updates tracked since enumeration
NPI 1235575242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MI · 4301111924
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License R73773 (AZ)
1000 WALL STREET, Ann Arbor, MI 48105

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

Nicholas L Behunin 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 ID3678796000
PECOS Enrollment IDI20181226001226
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 21

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.
685 services571 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.
489 services269 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.
448 services395 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.
354 services259 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
244 services139 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.
178 services175 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St. George Regional Hospital

Acute Care Hospitals · St George, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460021
Location1380 East Medical Center DriveSt George, UT 84790 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48105 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.

88.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.85
Improvement Activities40
Cost65.28

Other Providers at the Same Location NPPES 20

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

Ophthalmology
1000 WALL STREET
ANN ARBOR, MI 48105
Ophthalmology
1000 WALL STREET
ANN ARBOR, MI 48105
Ophthalmology
1000 WALL STREET
ANN ARBOR, MI 48105
Ophthalmology
1000 WALL STREET
ANN ARBOR, MI 48105
Ophthalmology
1000 WALL STREET
ANN ARBOR, MI 48105
Ophthalmology
1000 WALL STREET
ANN ARBOR, MI 48105
Ophthalmology
1000 WALL STREET
ANN ARBOR, MI 48105
Optometrist
1000 WALL STREET
ANN ARBOR, MI 48105

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 Nicholas Behunin's NPI number?

The NPI number for Nicholas Behunin is 1235575242. It was assigned to this individual provider in the NPPES registry on May 16, 2013.

Where is Nicholas Behunin located?

Nicholas Behunin practices at 1000 Wall Street, Ann Arbor, MI 48105. The listed phone number is (734) 764-4190.

What is Nicholas Behunin's specialty?

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

Is Nicholas Behunin enrolled in Medicare?

Yes. Nicholas Behunin 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 Nicholas Behunin accept?

Health plans from Select Health and University of Utah Health Plans list Nicholas Behunin 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.

Is Nicholas Behunin affiliated with any hospitals?

According to CMS data, Nicholas Behunin is affiliated with St. George Regional Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Behunin was last updated on August 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.