1. Home
  2. Directory
  3. Washington
  4. Bellingham
  5. Optometrist
  6. NPI Profile

DR. MICHAEL D VAN BROCKLIN OD
NPI 1417992900
Optometrist in Bellingham, WA

Active since June 18, 2006PECOS EnrolledAccepts Medicare Assignment
4330 MITCHELL WAY, BELLINGHAM, WA 98226(360) 738-6860(360) 738-6853 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael D Van Brocklin Od NPPES

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

DR. MICHAEL D VAN BROCKLIN OD (NPI 1417992900) is an individual optometrist in Bellingham, Washington, licensed in Washington (OD00001307) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1979).

NPPES Registry Identity

NPI1417992900
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL D VAN BROCKLINCredential: OD
Location Address4330 MITCHELL WAYBellingham, WA 98226-9175
Mailing AddressPo Box 1506Chehalis, WA 98532-0409 · (360) 242-3008 · Fax (360) 807-7687
Phone(360) 738-6860
Fax(360) 738-6853
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 1979
Enumeration DateJune 18, 2006
Last NPPES UpdateNovember 19, 2020
NPPES CertifiedNovember 19, 2020
✔ NPI 1417992900 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 WA · OD00001307
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.
4330 MITCHELL WAY, Bellingham, WA 98226
Open in Google Maps ↗

Other Identifiers 5

Medicaid2027076WA
Other00939832AK · Rail Road Medicare
Medicaid1010014WA
Other410017358WA · Rail Road Medicare
Medicaid1023190AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. 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. Michael D Van Brocklin 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 ID4789673765
PECOS Enrollment IDI20040506001338
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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
118 services118 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services35 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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98226 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

PACIFIC CATARACT AND LASER INSTITUTE INC PC
Clinic/Center (Ambulatory Surgical)
4330 MITCHELL WAY
BELLINGHAM, WA 98226
Whatcom County (360) 736-6860
DR. BRETT E IGBINOBA OD
Optometrist
4330 MITCHELL WAY
BELLINGHAM, WA 98226
Whatcom County (360) 738-6860

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 Van Brocklin's NPI number?

The NPI number for Michael Van Brocklin is 1417992900. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is Michael Van Brocklin located?

Michael Van Brocklin practices at 4330 Mitchell Way, Bellingham, WA 98226. The listed phone number is (360) 738-6860.

What is Michael Van Brocklin's specialty?

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

Is Michael Van Brocklin enrolled in Medicare?

Yes. Michael Van Brocklin 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 Van Brocklin accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan and 1 other insurer list Michael Van Brocklin 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 Van Brocklin was last updated on November 19, 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.