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DR. MICHAEL SCOTT BOLD OD
NPI 1346349909
Optometrist in Newport Beach, CA

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
2628 SAN MIGUEL DR, NEWPORT BEACH, CA 92660(949) 644-0165(949) 644-7762 Get Directions Write a Review

NPPES record last updated: September 13, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Michael Scott Bold Od NPPES

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

DR. MICHAEL SCOTT BOLD OD (NPI 1346349909) is an individual optometrist in Newport Beach, California, licensed in California (COR905) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in La Palma, and is a graduate of Illinois College Of Optometry At Chicago (1993).

NPPES Registry Identity

NPI1346349909
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL SCOTT BOLDCredential: OD
Location Address2628 SAN MIGUEL DRNewport Beach, CA 92660-5437
Mailing Address5422 La Palma AveLa Palma, CA 90623-1705 · (714) 995-1144 · Fax (714) 995-7979
Phone(949) 644-0165
Fax(949) 644-7762
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1993
Enumeration DateSeptember 21, 2006
Last NPPES UpdateSeptember 13, 2018
✔ NPI 1346349909 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 CA · COR905
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.
2628 SAN MIGUEL DR, Newport Beach, CA 92660
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Secondary Practice Location 1

Location 15422 La Palma AveLA Palma, CA 90623-1705 · Phone (714) 995-1144 · Fax (714) 995-7979

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana 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. Michael Scott Bold 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 ID8921297938
PECOS Enrollment IDI20110106000439
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 Reassignment

Medicare enrollment records show Michael Bold reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Michael S Bold Od Inc
19 mi
Optometrist
5422 LA PALMA AVE
La Palma, CA 90623
  • Reassigned Medicare billing, California enrollment
NPI 1740597269 (714) 995-1144

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 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.

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 Bold's NPI number?

The NPI number for Michael Bold is 1346349909. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Michael Bold located?

Michael Bold practices at 2628 San Miguel Dr, Newport Beach, CA 92660. The listed phone number is (949) 644-0165.

What is Michael Bold's specialty?

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

Is Michael Bold enrolled in Medicare?

Yes. Michael Bold 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 organization bills Medicare for Michael Bold's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Bold reassigns Medicare benefits to Michael S Bold Od Inc (La Palma, CA). The 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 Michael Bold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Bold accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Michael Bold 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 Bold was last updated on September 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.