1. Home
  2. Directory
  3. California
  4. Placentia
  5. Optometrist
  6. NPI Profile

DR. MICHAEL P DECARLO O.D.
NPI 1346327673
Optometrist in Placentia, CA

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
1428 N KRAEMER BLVD, PLACENTIA, CA 92870(714) 996-1136(714) 996-0793 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 17, 2018, Jun 29, 2018, Jan 31, 2017 (3 updates tracked since 2017).

About Dr. Michael P Decarlo O.d. NPPES

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

DR. MICHAEL P DECARLO O.D. (NPI 1346327673) is an individual optometrist in Placentia, California, licensed in California (9416TPG) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Long Beach, and is a graduate of Illinois College Of Optometry At Chicago (1989).

NPPES Registry Identity

NPI1346327673
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL P DECARLOCredential: O.D.
Location Address1428 N KRAEMER BLVDPlacentia, CA 92870
Mailing Address1428 N Kraemer BlvdPlacentia, CA 92870-3406 · (714) 996-1136 · Fax (714) 996-0793
Phone(714) 996-1136
Fax(714) 996-0793
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1989
Enumeration DateNovember 1, 2006
Last NPPES UpdateOctober 17, 20183 updates tracked since enumeration
✔ NPI 1346327673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 9416TPG
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.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 9416TPG (CA)
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 9416T (CA)
Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X · License 9416TPG (CA)
1428 N KRAEMER BLVD, Placentia, CA 92870
Open in Google Maps ↗

Secondary Practice Location 1

Location 15724 E 7th StLong Beach, CA 90803-2002 · Phone (562) 986-6373 · Fax (562) 986-6377

Other Identifiers 1

MedicaidSD0094160 7CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, 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

Dr. Michael P Decarlo 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 ID6406962042
PECOS Enrollment IDI20120306000442
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 2

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.

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.
39 services38 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.
35 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92870 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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

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

MICHAEL P DE CARLO OPTOMETRIST INC
Eyewear Supplier
1428 N KRAEMER BLVD
PLACENTIA, CA 92870
Orange County (714) 996-1136

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 Decarlo's NPI number?

The NPI number for Michael Decarlo is 1346327673. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Michael Decarlo located?

Michael Decarlo practices at 1428 N Kraemer Blvd, Placentia, CA 92870. The listed phone number is (714) 996-1136.

What is Michael Decarlo's specialty?

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

Is Michael Decarlo enrolled in Medicare?

Yes. Michael Decarlo 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 Decarlo accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, 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 Michael Decarlo 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 Decarlo was last updated on October 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.