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MR. MICHAEL EDWARD KODITEK O.D.
NPI 1366735201
Optometrist in Frederick, CO

Active since May 25, 2011PECOS EnrolledAccepts Medicare Assignment
5900 KEYES ST STE 101, FREDERICK, CO 80504(303) 833-1056(303) 833-1057 Get Directions Write a Review

NPPES record last updated: March 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael Edward Koditek O.d. NPPES

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

MR. MICHAEL EDWARD KODITEK O.D. (NPI 1366735201) is an individual optometrist in Frederick, Colorado, licensed in Colorado (2850) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2011).

NPPES Registry Identity

NPI1366735201
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. MICHAEL EDWARD KODITEKCredential: O.D.
Location Address5900 KEYES ST STE 101Frederick, CO 80504-5956
Mailing Address5900 Keyes St Ste 101Frederick, CO 80504-5956 · (303) 833-1056 · Fax (303) 833-1057
Phone(303) 833-1056
Fax(303) 833-1057
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 2011
Enumeration DateMay 25, 2011
Last NPPES UpdateMarch 13, 2020
NPPES CertifiedMarch 13, 2020
✔ NPI 1366735201 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 · 2850
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.
5900 KEYES ST STE 101, Frederick, CO 80504
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, UnitedHealthcare.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

Mr. Michael Edward Koditek 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 ID1951562784
PECOS Enrollment IDI20120423000056
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 9

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.
107 services107 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.
38 services36 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.
26 services22 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
25 services19 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
22 services18 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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80504 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.

Other Providers at the Same Location NPPES 4

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

DR. MICHAEL ANDREW BAGLEY OD
Optometrist
5900 KEYES ST STE 101
FREDERICK, CO 80504
Weld County (303) 833-1056
CARBON VALLEY EYE CARE
Optometrist
5900 KEYES ST STE 101
FREDERICK, CO 80504
Weld County (303) 833-1056
TAYLOR KIYOTA JACKSON OD
Optometrist
5900 KEYES ST STE 101
FREDERICK, CO 80504
Weld County (303) 833-1056
DR. JEFFREY BERGER O.D.
Optometrist
5900 KEYES ST STE 101
FREDERICK, CO 80504
Weld County (303) 833-1056

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 Koditek's NPI number?

The NPI number for Michael Koditek is 1366735201. It was assigned to this individual provider in the NPPES registry on May 25, 2011.

Where is Michael Koditek located?

Michael Koditek practices at 5900 Keyes St Ste 101, Frederick, CO 80504. The listed phone number is (303) 833-1056.

What is Michael Koditek's specialty?

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

Is Michael Koditek enrolled in Medicare?

Yes. Michael Koditek 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 Koditek accept?

Health plans from Providence Health Plan and UnitedHealthcare list Michael Koditek 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 Koditek was last updated on March 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.