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ANDREA MOTT O.D.
NPI 1316235237
Optometrist in Escanaba, MI

Active since July 12, 2011PECOS EnrolledAccepts Medicare Assignment
1015 S LINCOLN RD, ESCANABA, MI 49829(906) 786-5181 Get Directions Write a Review

NPPES record last updated: June 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 22, 2020, May 2, 2018 (2 updates tracked since 2018).

About Andrea Mott O.d. NPPES

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

ANDREA MOTT O.D. (NPI 1316235237) is an individual optometrist in Escanaba, Michigan, licensed in Michigan (4901004653) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1316235237
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameANDREA MOTTCredential: O.D.
Location Address1015 S LINCOLN RDEscanaba, MI 49829-2100
Mailing Address1015 S Lincoln RdEscanaba, MI 49829-2100 · (906) 786-5181
Phone(906) 786-5181
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 12, 2011
Last NPPES UpdateJune 22, 20202 updates tracked since enumeration
NPPES CertifiedJune 22, 2020
✔ NPI 1316235237 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 · 4901004653
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.
1015 S LINCOLN RD, Escanaba, MI 49829
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Other Names 1

Former Name (1)Andrea St. John

Other Identifiers 1

Other900B10059MI · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Andrea Mott 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 ID6204090335
PECOS Enrollment IDI20120621000041
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 10

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 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.
164 services108 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.
90 services85 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
86 services73 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.
68 services67 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).
60 services60 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.
35 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49829 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.

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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%39 patients5/55-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.

DR. DARRELL J KOHLI MD
Ophthalmology
1015 S LINCOLN RD
ESCANABA, MI 49829
Delta County (906) 786-5181
KAITLYN LEANNE LORD OD
Optometrist
1015 S LINCOLN RD
ESCANABA, MI 49829
Delta County (906) 786-5181
UP OPTOMETRY
Optometrist
1015 S LINCOLN RD
ESCANABA, MI 49829
Delta County (906) 786-5181
DR. JAYLENE K IVERSON O.D.
Optometrist
1015 S LINCOLN RD
ESCANABA, MI 49829
Delta County (906) 786-5181

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 Andrea Mott's NPI number?

The NPI number for Andrea Mott is 1316235237. It was assigned to this individual provider in the NPPES registry on July 12, 2011. The provider is also known as Andrea St. John.

Where is Andrea Mott located?

Andrea Mott practices at 1015 S Lincoln Rd, Escanaba, MI 49829. The listed phone number is (906) 786-5181.

What is Andrea Mott's specialty?

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

Is Andrea Mott enrolled in Medicare?

Yes. Andrea Mott 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 Andrea Mott accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Andrea Mott 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 Andrea Mott was last updated on June 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.