MRS. MONICA ANNE FENTON O.D.
NPI 1427052919
Optometrist in Grand Rapids, MI

Q: What is Monica Fenton's NPI number?

The NPI number for Monica Fenton is 1427052919. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Q: What is Monica Fenton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Monica Fenton was last updated on June 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since June 13, 2005PECOS EnrolledAccepts Medicare Assignment

74.01/100

CMS Quality Rating

750 E BELTLINE AVE NE, STE 202, GRAND RAPIDS, MI 49525(616) 949-2600(616) 365-2076 Get Directions Write a Review

NPPES record last updated: June 9, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Monica Anne Fenton O.d. NPPES

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

MRS. MONICA ANNE FENTON O.D. (NPI 1427052919) is an individual optometrist in Grand Rapids, Michigan, licensed in Michigan (4901004006) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1427052919

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameMRS. MONICA ANNE FENTONCredential: O.D.

Location Address750 E BELTLINE AVE NE, STE 202Grand Rapids, MI 49525-6049

Mailing Address750 E Beltline Ave Ne, Ste 202Grand Rapids, MI 49525-6046 · (616) 949-2600 · Fax (616) 954-0213

Phone(616) 949-2600

Fax(616) 365-2076

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJune 13, 2005

Last NPPES UpdateJune 9, 2008

✔ NPI 1427052919 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 MI · 4901004006

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.

750 E BELTLINE AVE NE, Grand Rapids, MI 49525

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Other Identifiers 6

Other410044559MI · Medicare Rr

Other900G06541MI · Bcbs

Medicare UPINU78253

Medicare NSC0364980001MI

Medicare PIN0D17001MI

Medicaid4247543MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Mrs. Monica Anne Fenton 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 ID3779610886

PECOS Enrollment IDI20100421000825

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.

42 services42 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.

31 services29 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.

17 services13 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.

12 services11 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.

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.

74.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

Improvement Activities

Cost

15.89

Other Providers at the Same Location NPPES 20

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

DR. LAURA J PIIPPO M.D.

Ophthalmology

750 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525

Kent County (616) 949-2600

DR. ROBERT J ROOSENBERG M.D.

Ophthalmology

750 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525

Kent County (616) 949-2600

GRO OPTICAL, LLC

Eyewear Supplier

750 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525

Kent County (616) 942-1350

DR. MARK E SHELDON MD

Ophthalmology

750 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525

Kent County (616) 949-2600

DR. RACHEL GATES O.D.

Optometrist

750 E BELTLINE AVE NE, STE 202
GRAND RAPIDS, MI 49525

Kent County (616) 588-6542

BRIAN M DOLPHIN OD

Optometrist

750 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525

Kent County (616) 949-2600

DR. MARCUS SALIM MUALLEM MD

Ophthalmology

750 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525

Kent County (616) 949-2600

DR. GREGORY LEON PATERA O.D.

Optometrist

750 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525

Kent County (616) 949-2600

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 Monica Fenton's NPI number?

The NPI number for Monica Fenton is 1427052919. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Monica Fenton located?

Monica Fenton practices at 750 E Beltline Ave NE Ste 202, Grand Rapids, MI 49525. The listed phone number is (616) 949-2600.

What is Monica Fenton's specialty?

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

Is Monica Fenton enrolled in Medicare?

Yes. Monica Fenton 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 Monica Fenton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 7 other insurers list Monica Fenton 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 Monica Fenton was last updated on June 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.