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DR. MICHAEL C BAUGHAN OD
NPI 1275576282
Optometrist in Elizabeth City, NC

Active since June 14, 2006PECOS Enrolled
1813 W EHRINGHAUS ST, ELIZABETH CITY, NC 27909(252) 333-1155(252) 333-1796 Get Directions Write a Review

NPPES record last updated: June 20, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Michael C Baughan Od NPPES

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

DR. MICHAEL C BAUGHAN OD (NPI 1275576282) is an individual optometrist in Elizabeth City, North Carolina, licensed in North Carolina (1744) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275576282
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL C BAUGHANCredential: OD
Location Address1813 W EHRINGHAUS STElizabeth City, NC 27909-4555
Mailing Address1813 W Ehringhaus StElizabeth City, NC 27909-4555 · (252) 333-1155 · Fax (252) 333-1796
Phone(252) 333-1155
Fax(252) 333-1796
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateJune 20, 2008
✔ NPI 1275576282 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 NC · 1744
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.
1813 W EHRINGHAUS ST, Elizabeth City, NC 27909
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Other Identifiers 5

Other093A0NC · Bcbsnc Individual Number
Medicare PIN2471727ANC
Medicare UPINU02870NC
Medicare PIN410048748NC
Medicaid89093A0NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael C Baughan Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Michael Baughan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eyecarecenter Od PA
Same address
Optometrist
1813 W EHRINGHAUS ST
Elizabeth City, NC 27909
  • Reassigned Medicare billing, North Carolina enrollment
  • 137 clinicians in this Medicare group
NPI 1902859952 (636) 200-4393
Wilcox Optometry PLLC
89 mi
Optometrist
800 TIFFANY BLVD STE 101
Rocky Mount, NC 27804
  • Reassigned Medicare billing, North Carolina enrollment
  • 16 clinicians in this Medicare group
NPI 1407529696 (502) 244-2420

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

Areas of Expertise CMS Part B claims 3

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.
78 services78 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.
24 services24 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27909 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 3

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

JILL MONCLA
Optometrist
1813 W EHRINGHAUS ST
ELIZABETH CITY, NC 27909
Pasquotank County (252) 333-1155
DR. KENTON L LILYQUIST OD
Optometrist
1813 W EHRINGHAUS ST
ELIZABETH CITY, NC 27909
Pasquotank County (252) 333-1155
EYECARECENTER OD PA
Optometrist
1813 W EHRINGHAUS ST
ELIZABETH CITY, NC 27909
Pasquotank County (636) 200-4393

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 Michael Baughan's NPI number?

The NPI number for Michael Baughan is 1275576282. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Michael Baughan located?

Michael Baughan practices at 1813 W Ehringhaus St, Elizabeth City, NC 27909. The listed phone number is (252) 333-1155.

What is Michael Baughan's specialty?

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

Is Michael Baughan enrolled in Medicare?

Yes. Michael Baughan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Baughan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Baughan reassigns Medicare benefits to 2 organizations: Eyecarecenter Od PA (Elizabeth City, NC) and Wilcox Optometry PLLC (Rocky Mount, NC). Each 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 Michael Baughan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Baughan accept?

Health plans from Cigna Healthcare list Michael Baughan 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 Michael Baughan was last updated on June 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.