Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JOHN MICHAEL GUEST MD
NPI 1235796780
Ophthalmology in Saint Clair Shores, MI

Active since May 21, 2019PECOS EnrolledAccepts Medicare Assignment
75.7/100
CMS Quality Rating
21931 E 9 MILE RD, SAINT CLAIR SHORES, MI 48080(586) 210-2464(586) 204-2473 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 10, 2020, May 21, 2019 (2 updates tracked since 2019).

About Dr. John Michael Guest Md NPPES

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

DR. JOHN MICHAEL GUEST MD (NPI 1235796780) is an individual ophthalmology provider in Saint Clair Shores, Michigan, licensed in Michigan (4351044538) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Wayne State University School Of Medicine (2019).

NPPES Registry Identity

NPI1235796780
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JOHN MICHAEL GUESTCredential: MD
Location Address21931 E 9 MILE RDSaint Clair Shores, MI 48080-2906
Mailing Address21931 E 9 Mile RdSaint Clair Shores, MI 48080-2906 · (586) 210-2464 · Fax (586) 204-2473
Fax(586) 204-2473
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2019
Enumeration DateMay 21, 2019
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
NPI 1235796780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MI · 4351044538
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.

21931 E 9 MILE RD, Saint Clair Shores, MI 48080

Secondary Practice Locations 2

Location 14717 Saint Antoine StDetroit, MI 48201-1423 · Phone (313) 577-8900
Location 218101 Oakwood BlvdDearborn, MI 48124-4089 · Phone (313) 593-7795

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. John Michael Guest Md 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 ID7113260563
PECOS Enrollment IDI20230817001518
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 14

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
189 services137 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
188 services68 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
71 services44 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.
68 services48 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.
67 services62 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.
66 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48080 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.

75.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.55
Improvement Activities40
Cost19.61

Other Providers at the Same Location NPPES 4

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

Pediatrics
21931 E 9 MILE RD
SAINT CLAIR SHORES, MI 48080
Physical Therapist
21931 E 9 MILE RD
SAINT CLAIR SHORES, MI 48080
Ophthalmology
21931 E 9 MILE RD
SAINT CLAIR SHORES, MI 48080
Ophthalmology
21931 E 9 MILE RD
SAINT CLAIR SHORES, MI 48080

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235796780, enumerated as an "individual" on May 21, 2019.

The provider is located at 21931 E 9 MILE RD SAINT CLAIR SHORES, MI 48080 and the phone number is (586) 210-2464.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross and Blue. Please consult your insurance carrier or call the provider to verify.