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DR. EMILY ANNE COLES O.D.
NPI 1316196504
Optometrist in Big Rapids, MI

Active since September 12, 2008PECOS EnrolledAccepts Medicare Assignment
207 N MICHIGAN AVE, BIG RAPIDS, MI 49307(231) 796-5321(231) 796-2957 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Emily Anne Coles O.d. NPPES

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

DR. EMILY ANNE COLES O.D. (NPI 1316196504) is an individual optometrist in Big Rapids, Michigan, licensed in Michigan (4901004480) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1316196504
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. EMILY ANNE COLESCredential: O.D.
Location Address207 N MICHIGAN AVEBig Rapids, MI 49307-1809
Mailing Address207 S Michigan AveBig Rapids, MI 49307-1809 · (231) 796-5321 · Fax (231) 796-2957
Phone(231) 796-5321
Fax(231) 796-2957
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 12, 2008
Last NPPES UpdateJanuary 8, 2024
NPPES CertifiedJanuary 5, 2024
✔ NPI 1316196504 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 · 4901004480
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.
207 N MICHIGAN AVE, Big Rapids, MI 49307
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Emily Anne Coles 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 ID3476602962
PECOS Enrollment IDI20090512000292
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

3

Medicare enrollment records show Emily Coles reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Big Rapids Family Eye Care PLLC
Same address
Optometrist
207 S MICHIGAN AVE
Big Rapids, MI 49307
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group
NPI 1376759738 (231) 796-5321
Big Rapids Family Eye Care PLLC
Same address
Optometrist
207 S MICHIGAN AVE
Big Rapids, MI 49307
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Optometric Associates Of Big Rapids, PC
NPI 1376759738 (231) 796-5321
Ferris State University
0.9 mi
Optometrist
1124 S STATE, 101 H
Big Rapids, MI 49307
  • Reassigned Medicare billing, Michigan enrollment
  • 55 clinicians in this Medicare group
NPI 1871510859 (231) 591-2020

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 4

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
73 services71 patients
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.
63 services41 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.
42 services41 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
20 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49307 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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 Emily Coles's NPI number?

The NPI number for Emily Coles is 1316196504. It was assigned to this individual provider in the NPPES registry on September 12, 2008.

Where is Emily Coles located?

Emily Coles practices at 207 N Michigan Ave, Big Rapids, MI 49307. The listed phone number is (231) 796-5321.

What is Emily Coles's specialty?

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

Is Emily Coles enrolled in Medicare?

Yes. Emily Coles 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.

Which organizations bill Medicare for Emily Coles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Coles reassigns Medicare benefits to 3 organizations: Big Rapids Family Eye Care PLLC (Big Rapids, MI), Big Rapids Family Eye Care PLLC (Big Rapids, MI) and Ferris State University (Big Rapids, MI). 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 Emily Coles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Coles accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 12 other insurers list Emily Coles 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 Emily Coles was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.