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MICHAEL E LUBY OD
NPI 1366555161
Optometrist in Grand Junction, CO

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
1000 WELLINGTON AVE, GRAND JUNCTION, CO 81501(970) 243-9000(970) 245-4936 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Jul 21, 2022, Oct 20, 2017 (3 updates tracked since 2017).

About Michael E Luby Od NPPES

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

MICHAEL E LUBY OD (NPI 1366555161) is an individual optometrist in Grand Junction, Colorado, licensed in Colorado (1035) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1975).

NPPES Registry Identity

NPI1366555161
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMICHAEL E LUBYCredential: OD
Location Address1000 WELLINGTON AVEGrand Junction, CO 81501
Mailing Address2460 Patterson Rd Unit 2Grand Junction, CO 81505-1027 · (970) 243-9000 · Fax (970) 245-4936
Phone(970) 243-9000
Fax(970) 245-4936
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 1975
Enumeration DateAugust 16, 2006
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
✔ NPI 1366555161 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 CO · 1035
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.
1000 WELLINGTON AVE, Grand Junction, CO 81501
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Other Identifiers 1

Medicaid08010357CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Providence Health Plan, University of Utah Health Plans.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

Michael E Luby 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 ID2163547126
PECOS Enrollment IDI20100914000640
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 4

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.
201 services201 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
44 services36 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.
26 services26 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81501 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%22 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

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

WALTER JAY HOFFMAN M.D.
Ophthalmology
1000 WELLINGTON AVE, STE A
GRAND JUNCTION, CO 81501
Mesa County (720) 524-1001
DR. TRAVIS ANDERSON OD
Optometrist (Corneal and Contact Management)
1000 WELLINGTON AVE
GRAND JUNCTION, CO 81501
Mesa County (720) 524-1001
DAY SURGERY OF GRAND JUNCTION LLC
Clinic/Center (Ambulatory Surgical)
1000 WELLINGTON AVE
GRAND JUNCTION, CO 81501
Mesa County (970) 245-5989
GRAND VALLEY OCULAR ANESTHESIA
Anesthesiology
1000 WELLINGTON AVE
GRAND JUNCTION, CO 81501
Mesa County (970) 254-1686
SHANNON SWAYNE OD
Optometrist
1000 WELLINGTON AVE, STE A
GRAND JUNCTION, CO 81501
Mesa County (720) 524-1001
JERRY OTIS BUSH MD
Ophthalmology
1000 WELLINGTON AVE
GRAND JUNCTION, CO 81501
Mesa County (970) 243-9000
JESSE ALLEN OD
Optometrist
1000 WELLINGTON AVE
GRAND JUNCTION, CO 81501
Mesa County (970) 256-0400
DEBORAH A WHEELER MD
Anesthesiology
1000 WELLINGTON AVE
GRAND JUNCTION, CO 81501
Mesa County (970) 242-3854

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 Luby's NPI number?

The NPI number for Michael Luby is 1366555161. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Michael Luby located?

Michael Luby practices at 1000 Wellington Ave, Grand Junction, CO 81501. The listed phone number is (970) 243-9000.

What is Michael Luby's specialty?

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

Is Michael Luby enrolled in Medicare?

Yes. Michael Luby 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 Luby accept?

Health plans from BlueCross BlueShield of Tennessee, Providence Health Plan and University of Utah Health Plans list Michael Luby 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 Luby was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.