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DR. CARL VINCENT POGGIOLO OD
NPI 1316059538
Optometrist in Shelby Township, MI

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment
15055 22 MILE RD STE 3, SHELBY TOWNSHIP, MI 48315(586) 239-0303(586) 436-3537 Get Directions Write a Review

NPPES record last updated: March 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carl Vincent Poggiolo Od NPPES

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

DR. CARL VINCENT POGGIOLO OD (NPI 1316059538) is an individual optometrist in Shelby Township, Michigan, licensed in Michigan (4901004394) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1316059538
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. CARL VINCENT POGGIOLOCredential: OD
Location Address15055 22 MILE RD STE 3Shelby Township, MI 48315-4401
Mailing Address15055 22 Mile Rd Ste 3Shelby Township, MI 48315-4401 · (586) 239-0303 · Fax (586) 436-3537
Phone(586) 239-0303
Fax(586) 436-3537
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 1, 2006
Last NPPES UpdateMarch 11, 2017
✔ NPI 1316059538 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 · 4901004394
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.
15055 22 MILE RD STE 3, Shelby Township, MI 48315
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Other Identifiers 6

Medicare PINP41870005MI
Medicare PIN0P41880
Medicaid5819551MI
Medicare PINP41880005MI
Medicare PIN0P41870
Medicaid5189515MI

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carl Vincent Poggiolo 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 ID244237915
PECOS Enrollment IDI20061023000509
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 9

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 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.
79 services33 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
62 services59 patients
Exam of visual field with limited testing 92081
An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.
57 services57 patients
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.
44 services44 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
39 services16 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.
20 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48315 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.

Other Providers at the Same Location NPPES 2

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

TANYA LYNN ROPES NP-C
Nurse Practitioner (Primary Care)
15055 22 MILE RD STE 3
SHELBY TWP, MI 48315
Macomb County (586) 566-7100
VISION ASSOCIATES FAMILY EYE CARE, PLLC
Optometrist
15055 22 MILE RD STE 3
SHELBY TOWNSHIP, MI 48315
Macomb County (586) 239-0303

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 Carl Poggiolo's NPI number?

The NPI number for Carl Poggiolo is 1316059538. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Carl Poggiolo located?

Carl Poggiolo practices at 15055 22 Mile Rd Ste 3, Shelby Township, MI 48315. The listed phone number is (586) 239-0303.

What is Carl Poggiolo's specialty?

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

Is Carl Poggiolo enrolled in Medicare?

Yes. Carl Poggiolo 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 Carl Poggiolo 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 Carl Poggiolo 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 Carl Poggiolo was last updated on March 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.