MR. MICHAEL DAVID PIRONE OD
NPI 1336297704
Optometrist in Portland, ME

Active since January 08, 2007PECOS Enrolled
595 BRIGHTON AVE, PORTLAND, ME 04102(207) 210-6700(207) 899-3239 Get Directions Write a Review

NPPES record last updated: September 5, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Michael David Pirone Od NPPES

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

MR. MICHAEL DAVID PIRONE OD (NPI 1336297704) is an individual optometrist in Portland, Maine, licensed in Maine (ME OPT 883) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336297704
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. MICHAEL DAVID PIRONECredential: OD
Location Address595 BRIGHTON AVEPortland, ME 04102-2322
Mailing Address595 Brighton AvePortland, ME 04102-2322 · (207) 210-6700 · Fax (207) 899-3239
Fax(207) 899-3239
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateSeptember 5, 2012
NPI 1336297704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in ME · ME OPT 883 Licensed in GA · GA 1778
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.
595 BRIGHTON AVE, Portland, ME 04102

Other Identifiers 6

Other8586932ME · Cigna
Medicare UPINU87845
OtherMNT036ME · Harvard Pilgrim
Medicaid431970499ME
Medicare PINME1585ME
Other061451ME · Anthem

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Michael David Pirone 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.

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.
69 services69 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.
63 services59 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.
32 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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 8

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

Optometrist (Vision Therapy)
595 BRIGHTON AVE
PORTLAND, ME 04102
Optometrist
595 BRIGHTON AVE
PORTLAND, ME 04102
Dentist (Periodontics)
595 BRIGHTON AVE
PORTLAND, ME 04102
Optometrist
595 BRIGHTON AVE
PORTLAND, ME 04102
Dentist (Periodontics)
595 BRIGHTON AVE
PORTLAND, ME 04102
Dentist (Periodontics)
595 BRIGHTON AVE
PORTLAND, ME 04102
Optometrist
595 BRIGHTON AVE
PORTLAND, ME 04102
Optometrist
595 BRIGHTON AVE
PORTLAND, ME 04102

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 Pirone's NPI number?

The NPI number for Michael Pirone is 1336297704. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Michael Pirone located?

Michael Pirone practices at 595 Brighton Ave, Portland, ME 04102. The listed phone number is (207) 210-6700.

What is Michael Pirone's specialty?

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

Is Michael Pirone enrolled in Medicare?

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

What insurance does Michael Pirone accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Michael Pirone 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 Pirone was last updated on September 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.