DR. BIANCA BILEK OD
NPI 1245683770
Optometrist in Birmingham, MI

Active since July 20, 2016PECOS EnrolledAccepts Medicare Assignment
78.03/100
CMS Quality Rating
600 S ADAMS RD STE 200, BIRMINGHAM, MI 48009(248) 646-3733(248) 642-2566 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2021, Sep 24, 2019, Apr 11, 2018 (3 updates tracked since 2018).

About Dr. Bianca Bilek Od NPPES

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

DR. BIANCA BILEK OD (NPI 1245683770) is an individual optometrist in Birmingham, Michigan, licensed in Michigan (4901004993) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1245683770
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. BIANCA BILEKCredential: OD
Location Address600 S ADAMS RD STE 200Birmingham, MI 48009-6863
Mailing Address600 S Adams Rd, Ste 200Birmingham, MI 48009-6863 · (248) 646-3733 · Fax (248) 642-2566
Fax(248) 642-2566
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 20, 2016
Last NPPES UpdateNovember 17, 20213 updates tracked since enumeration
NPPES CertifiedNovember 17, 2021
NPI 1245683770 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 MI · 4901004993
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.
600 S ADAMS RD STE 200, Birmingham, MI 48009

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. Bianca Bilek Od 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 ID1052607074
PECOS Enrollment IDI20160831000186
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

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 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48009 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.

78.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.47
Promoting Interoperability99
Improvement Activities40
Cost30.12

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.

Ophthalmology
600 S ADAMS RD STE 200
BIRMINGHAM, MI 48009
Ophthalmology
600 S ADAMS RD STE 200
BIRMINGHAM, MI 48009
Optometrist
600 S ADAMS RD STE 200
BIRMINGHAM, MI 48009

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 Bianca Bilek's NPI number?

The NPI number for Bianca Bilek is 1245683770. It was assigned to this individual provider in the NPPES registry on July 20, 2016.

Where is Bianca Bilek located?

Bianca Bilek practices at 600 S Adams Rd Ste 200, Birmingham, MI 48009. The listed phone number is (248) 646-3733.

What is Bianca Bilek's specialty?

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

Is Bianca Bilek enrolled in Medicare?

Yes. Bianca Bilek 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 Bianca Bilek accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 7 other insurers list Bianca Bilek 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 Bianca Bilek was last updated on November 17, 2021. 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.