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DR. MAXWELL EDWARD RENNAKER OD
NPI 1366934879
Optometrist in Grand Rapids, MI

Active since May 31, 2018PECOS EnrolledAccepts Medicare Assignment
2700 5 MILE RD NE STE 102, GRAND RAPIDS, MI 49525(330) 908-8000 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Maxwell Edward Rennaker Od NPPES

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

DR. MAXWELL EDWARD RENNAKER OD (NPI 1366934879) is an individual optometrist in Grand Rapids, Michigan, licensed in Michigan (4901005238) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2018).

NPPES Registry Identity

NPI1366934879
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MAXWELL EDWARD RENNAKERCredential: OD
Location Address2700 5 MILE RD NE STE 102Grand Rapids, MI 49525-6516
Mailing Address3736 Prairie St SwGrandville, MI 49418-1634 · (616) 648-8456
Phone(330) 908-8000
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 2018
Enumeration DateMay 31, 2018
Last NPPES UpdateSeptember 9, 2020
NPPES CertifiedSeptember 9, 2020
✔ NPI 1366934879 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 MI · 4901005238✔ Licensed in OH · OPT.006660
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.
2700 5 MILE RD NE STE 102, Grand Rapids, MI 49525
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., Blue Cross and Blue Shield of Louisiana and more.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. Maxwell Edward Rennaker 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 ID9638402787
PECOS Enrollment IDI20220629003056
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 3

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.
21 services21 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.
17 services17 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.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

FELICIA SLATE OD
Optometrist
2700 5 MILE RD NE STE 102
GRAND RAPIDS, MI 49525
Kent County (616) 361-6612
COMPREHENSIVE EYE CARE ASSOCIATES PC
Optometrist
2700 5 MILE RD NE STE 102
GRAND RAPIDS, MI 49525
Kent County (616) 361-6612

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 Maxwell Rennaker's NPI number?

The NPI number for Maxwell Rennaker is 1366934879. It was assigned to this individual provider in the NPPES registry on May 31, 2018.

Where is Maxwell Rennaker located?

Maxwell Rennaker practices at 2700 5 Mile Rd NE Ste 102, Grand Rapids, MI 49525. The listed phone number is (330) 908-8000.

What is Maxwell Rennaker's specialty?

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

Is Maxwell Rennaker enrolled in Medicare?

Yes. Maxwell Rennaker 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 Maxwell Rennaker accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 8 other insurers list Maxwell Rennaker 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 Maxwell Rennaker was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.