DR. JACOB ANTHONY MICHAEL O.D.
NPI 1356780670
Optometrist in Newport, KY

Active since June 19, 2013PECOS EnrolledAccepts Medicare Assignment
142 PAVILION PKWY, NEWPORT, KY 41071(859) 291-9464(859) 291-3222 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jacob Anthony Michael O.d. NPPES

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

DR. JACOB ANTHONY MICHAEL O.D. (NPI 1356780670) is an individual optometrist in Newport, Kentucky, licensed in Kentucky (2007DT) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cincinnati, and is a graduate of Indiana University School Of Medicine (2013).

NPPES Registry Identity

NPI1356780670
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JACOB ANTHONY MICHAELCredential: O.D.
Location Address142 PAVILION PKWYNewport, KY 41071-2884
Mailing Address1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970
Fax(859) 291-3222
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2013
Enumeration DateJune 19, 2013
Last NPPES UpdateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
NPI 1356780670 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 KY · 2007DT Licensed in OH · 6219
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.

142 PAVILION PKWY, Newport, KY 41071

Secondary Practice Location 1

Location 15303 Glenway AveCincinnati, OH 45238-3706 · Phone (513) 921-8040 · Fax (513) 921-6483

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 and accepts Medicare assignment

Dr. Jacob Anthony Michael 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 ID244459691
PECOS Enrollment IDI20140916002845, I20151015000848
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41071 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 3

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

Optometrist
142 PAVILION PKWY
NEWPORT, KY 41071
Optometrist
142 PAVILION PKWY
NEWPORT, KY 41071
Optometrist
142 PAVILION PKWY
NEWPORT, KY 41071

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 Jacob Michael's NPI number?

The NPI number for Jacob Michael is 1356780670. It was assigned to this individual provider in the NPPES registry on June 19, 2013.

Where is Jacob Michael located?

Jacob Michael practices at 142 Pavilion Pkwy, Newport, KY 41071. The listed phone number is (859) 291-9464.

What is Jacob Michael's specialty?

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

Is Jacob Michael enrolled in Medicare?

Yes. Jacob Michael 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 Jacob Michael accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and Ambetter of Tennessee and 10 other insurers list Jacob Michael 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 Jacob Michael was last updated on March 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.