DALE W MUTH OD PLLC
NPI 1255463162
Optometrist in Newberry, MI
About Dale W Muth Od Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DALE W MUTH OD PLLC (NPI 1255463162) is a healthcare organization registered as an optometrist in Newberry, Michigan and active in the NPI registry since March 2007. The organization lists Dale W Muth, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dale W Muth Od Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Dale W Muth Od PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Dale W Muth Od PLLC's NPI number?
The NPI number for Dale W Muth Od PLLC is 1255463162. It was assigned to this organization in the NPPES registry on March 9, 2007.
Where is Dale W Muth Od PLLC located?
Dale W Muth Od PLLC is located at 504 W Harrie St, Newberry, MI 49868. The listed phone number is (902) 293-9276.
What is Dale W Muth Od PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Dale W Muth Od PLLC enrolled in Medicare?
Yes. Dale W Muth Od PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dale W Muth Od PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Dale W Muth Od PLLC. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Dale W Muth Od PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Dale W Muth Od PLLC 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 Dale W Muth Od PLLC was last updated on June 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dale W Muth Od Pllc · NPI 1255463162
Optometrist organization in Newberry, Michigan. Organization record, active in the CMS NPPES registry since March 9, 2007.
## Identity
- **NPI:** 1255463162 (Entity type: Organization)
- **Enumerated:** March 9, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Dale Muth, OPTOMETRIST
## Practice location
- **Address:** 504 W HARRIE ST, Newberry, MI 49868-1200
- **Phone:** (902) 293-9276 · **Fax:** (906) 293-9100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 9, 2015
- **Other identifiers:** Medicaid 944255821 (MI); Medicare ID-Type Unspecified OM88190 (MI); Other 900D800030 (MI); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1255463162) · Data from the CMS NPPES public registry.