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BRIAN M CARNEY O.D.
NPI 1356339998
Optometrist in Plymouth, MI

Active since October 07, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 23D2256230 · Waiver
1358 S MAIN ST, PLYMOUTH, MI 48170(734) 453-6190(734) 453-4640 Get Directions Write a Review

NPPES record last updated: July 27, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brian M Carney O.d. NPPES

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

BRIAN M CARNEY O.D. (NPI 1356339998) is an individual optometrist in Plymouth, Michigan, licensed in Michigan (4901003753) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 21, 2028, and is a graduate of Illinois College Of Optometry At Chicago (1995).

NPPES Registry Identity

NPI1356339998
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBRIAN M CARNEYCredential: O.D.
Location Address1358 S MAIN STPlymouth, MI 48170-2253
Mailing Address1358 S Main StPlymouth, MI 48170-2253 · (734) 453-6190 · Fax (734) 453-4640
Phone(734) 453-6190
Fax(734) 453-4640
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1995
Enumeration DateOctober 7, 2005
Last NPPES UpdateJuly 27, 2012
✔ NPI 1356339998 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 · 4901003753
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.
1358 S MAIN ST, Plymouth, MI 48170
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedN96370001MI
Medicare UPINU58428MI

Accepted Insurance

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

Brian M Carney 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 ID7911972963
PECOS Enrollment IDI20040902000137
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

2

Medicare enrollment records show Brian Carney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Quality Eye Care PC
11 mi
Specialist
23550 PARK ST, SUITE 200
Dearborn, MI 48124
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group
NPI 1346441904 (313) 724-2273
Benchmark Optical PLLC
28 mi
Optometrist
1171 S MAIN ST STE 2
Chelsea, MI 48118
  • Reassigned Medicare billing, Michigan enrollment
NPI 1881099307 (734) 475-0300

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2256230

Brian M Carney P C · Plymouth, MI
Active · expires Mar 21, 2028
CLIA Number23D2256230
Laboratory TypePhysician Office
Certificate Effective DateMarch 22, 2026
Certificate Expiration DateMarch 21, 2028
Laboratory DirectorBrian Carney
Laboratory Phone(734) 453-6190
Laboratory LocationBrian M Carney P C1358 S Main Street, Plymouth, MI 48170
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 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.
121 services120 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
78 services19 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.
55 services55 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.
48 services31 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
39 services39 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.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48170 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 2

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

DR. JAMES M CARNEY O.D.
Optometrist
1358 S MAIN ST
PLYMOUTH, MI 48170
Wayne County (734) 453-6190
BRIAN M. CARNEY P.C.
Optometrist
1358 S MAIN ST
PLYMOUTH, MI 48170
Wayne County (734) 453-6190

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 Brian Carney's NPI number?

The NPI number for Brian Carney is 1356339998. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Where is Brian Carney located?

Brian Carney practices at 1358 S Main St, Plymouth, MI 48170. The listed phone number is (734) 453-6190.

What is Brian Carney's specialty?

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

Is Brian Carney enrolled in Medicare?

Yes. Brian Carney 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 Brian Carney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Carney reassigns Medicare benefits to 2 organizations: Quality Eye Care PC (Dearborn, MI) and Benchmark Optical PLLC (Chelsea, 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 Brian Carney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Brian Carney hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2256230) is associated with this NPI, valid through March 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Brian Carney accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 14 other insurers list Brian Carney 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 Brian Carney was last updated on July 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.