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MIKLOS BALOGH O.D.
NPI 1245300060
Optometrist in Merrillville, IN

Active since November 09, 2006PECOS EnrolledAccepts Medicare Assignment
279 W 80TH PL, MERRILLVILLE, IN 46410(219) 738-2180(219) 738-2847 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2022, Jun 4, 2019 (2 updates tracked since 2019).

About Miklos Balogh O.d. NPPES

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

MIKLOS BALOGH O.D. (NPI 1245300060) is an individual optometrist in Merrillville, Indiana, licensed in Indiana (18003388A) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1989).

NPPES Registry Identity

NPI1245300060
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMIKLOS BALOGHCredential: O.D.
Location Address279 W 80TH PLMerrillville, IN 46410-5491
Mailing Address1123 Stommel Pl, Unit #2Dyer, IN 46311-1658 · (773) 297-7602 · Fax (773) 685-1607
Phone(219) 738-2180
Fax(219) 738-2847
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1989
Enumeration DateNovember 9, 2006
Last NPPES UpdateApril 7, 20222 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
✔ NPI 1245300060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in IN · 18003388A✔ Licensed in IL · 046-008297
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.
279 W 80TH PL, Merrillville, IN 46410
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Miklos Balogh 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 ID3375649031
PECOS Enrollment IDI20190508003409
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 Miklos Balogh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Myeyedr Optometry Of Indiana, LLC
0.4 mi
Optometrist
279 W 80TH PL
Merrillville, IN 46410
  • Reassigned Medicare billing, Indiana enrollment
  • 162 clinicians in this Medicare group
NPI 1437645876 (219) 738-2180

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 5

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

DR. TIMOTHY H. MCGILLEN O.D.
Optometrist
279 W 80TH PL
MERRILLVILLE, IN 46410
Lake County (219) 738-2180
REHAM ADEL BAGHDADY OD
Optometrist
279 W 80TH PL
MERRILLVILLE, IN 46410
Lake County (219) 738-2180
MYEYEDR OPTOMETRY OF INDIANA, LLC
Optometrist
279 W 80TH PL
MERRILLVILLE, IN 46410
Lake County (219) 738-2180
DR. TIMOTHY H. MCGILLEN PROFESSIONAL OPTOMETRIC CORPORATION
Optometrist
279 W 80TH PL
MERRILLVILLE, IN 46410
Lake County (219) 738-2180
OSSIP OPTOMETRY, PC
Optometrist
279 W 80TH PL
MERRILLVILLE, IN 46410
Lake County (219) 738-2180

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 Miklos Balogh's NPI number?

The NPI number for Miklos Balogh is 1245300060. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Miklos Balogh located?

Miklos Balogh practices at 279 W 80th Pl, Merrillville, IN 46410. The listed phone number is (219) 738-2180.

What is Miklos Balogh's specialty?

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

Is Miklos Balogh enrolled in Medicare?

Yes. Miklos Balogh 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 Miklos Balogh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miklos Balogh reassigns Medicare benefits to Myeyedr Optometry Of Indiana, LLC (Merrillville, IN). 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 Miklos Balogh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miklos Balogh accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 7 other insurers list Miklos Balogh 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 Miklos Balogh was last updated on April 7, 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.