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DR. MICHAEL ALLEN CAMPBELL O.D.
NPI 1306839881
Optometrist in Hilton Head Island, SC

Active since August 30, 2005PECOS EnrolledAccepts Medicare Assignment
59.81/100
CMS Quality Rating
10 HOSPITAL CENTER CMNS, STE 100, HILTON HEAD ISLAND, SC 29926(843) 681-6682(681) 681-9582 Get Directions Write a Review

NPPES record last updated: June 21, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Michael Allen Campbell O.d. NPPES

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

DR. MICHAEL ALLEN CAMPBELL O.D. (NPI 1306839881) is an individual optometrist in Hilton Head Island, South Carolina, licensed in South Carolina (841) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (1987).

NPPES Registry Identity

NPI1306839881
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL ALLEN CAMPBELLCredential: O.D.
Location Address10 HOSPITAL CENTER CMNS, STE 100Hilton Head Island, SC 29926-2839
Mailing Address10 Hospital Center Cmns, Ste 100Hilton Head Island, SC 29926-2839 · (843) 681-6682 · Fax (681) 681-9582
Phone(843) 681-6682
Fax(681) 681-9582
Sole ProprietorYes
Medical School CMSIndiana University - School Of OptometryGraduated 1987
Enumeration DateAugust 30, 2005
Last NPPES UpdateJune 21, 2017
✔ NPI 1306839881 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 SC · 841
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.

10 HOSPITAL CENTER CMNS, Hilton Head Island, SC 29926
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Other Identifiers 7

Medicare UPINT83886SC
Medicare ID-Type Unspecified3063SC · Group Number
Medicare ID-Type Unspecified410008055SC · Rr Medicare
Medicare PINT838863063SC
Medicare PINT838660381SC
Other0282Group Number
Medicare NSC0279780001SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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. Michael Allen Campbell 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 ID5991724890
PECOS Enrollment IDI20090326000172
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 12

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.
612 services612 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
460 services245 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
191 services152 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
176 services140 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
121 services88 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.
72 services72 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29926 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

59.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality81.47
Promoting Interoperability0
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
95%61 patients5/55-star benchmark: 87%
Diabetes: Eye Exam
96%95 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
100%26 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
92%2,523 patients4/55-star benchmark: 100%
e-Prescribing
100%1,176 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
0%497 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 359 patients
99%359 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
97%148 patients
Provide Patients Electronic Access to Their Health Information
86%1,965 patients4/55-star benchmark: 100%
Support Electronic Referral Loops By Sending Health Information
97%60 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

TLC THE LASER CENTER (INSTITUTE) INC
Clinic/Center
10 HOSPITAL CENTER CMNS, STE. 100
HILTON HEAD ISLAND, SC 29926
Beaufort County (843) 681-8655
DR. JAMES D KONDOR O.D.
Optometrist
10 HOSPITAL CENTER CMNS, STE. 100
HILTON HEAD, SC 29926
Beaufort County (843) 681-6682
DR. MICHAEL A. CAMPBELL
Clinic/Center
10 HOSPITAL CENTER CMNS, STE. 100
HILTON HEAD ISLAND, SC 29926
Beaufort County (843) 681-6682
OPTICAL SOLUTIONS
Eyewear Supplier
10 HOSPITAL CENTER CMNS, STE. 100
HILTON HEAD ISLAND, SC 29926
Beaufort County (843) 681-6682

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 Campbell's NPI number?

The NPI number for Michael Campbell is 1306839881. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Michael Campbell located?

Michael Campbell practices at 10 Hospital Center Cmns Ste 100, Hilton Head Island, SC 29926. The listed phone number is (843) 681-6682.

What is Michael Campbell's specialty?

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

Is Michael Campbell enrolled in Medicare?

Yes. Michael Campbell 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 Michael Campbell accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of South Carolina and Providence Health Plan and 1 other insurer list Michael Campbell 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 Campbell was last updated on June 21, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.