DR. MICHELLE KAPLAN BASS OD
NPI 1417039363
Optometrist in Fayetteville, NY

Active since October 19, 2006PECOS Enrolled
5007 SADDLEBROOK DR, FAYETTEVILLE, NY 13066(315) 243-8025 Get Directions Write a Review

NPPES record last updated: July 19, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Michelle Kaplan Bass Od NPPES

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

DR. MICHELLE KAPLAN BASS OD (NPI 1417039363) is an individual optometrist in Fayetteville, New York, licensed in New York (TUV004838) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417039363
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHELLE KAPLAN BASSCredential: OD
Location Address5007 SADDLEBROOK DRFayetteville, NY 13066-9787
Mailing Address5007 Saddlebrook DrFayetteville, NY 13066-9787 · (315) 446-7572 · Fax (315) 446-5757
Sole ProprietorYes
Enumeration DateOctober 19, 2006
Last NPPES UpdateJuly 19, 2013
NPI 1417039363 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 NY · TUV004838
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.

5007 SADDLEBROOK DR, Fayetteville, NY 13066

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Michelle Kaplan Bass Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 13066 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417039363, enumerated as an "individual" on October 19, 2006.

The provider is located at 5007 SADDLEBROOK DR FAYETTEVILLE, NY 13066 and the phone number is (315) 243-8025.

Optometrist with taxonomy code 152W00000X.