DR. PHILLIP JOHN MICHALOS O.D.
NPI 1487686051
Optometrist in Cleveland, OH

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
76.18/100
CMS Quality Rating
10680 LORAIN AVE, CLEVELAND, OH 44111(216) 671-2998(216) 671-6985 Get Directions Write a Review

NPPES record last updated: July 20, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Phillip John Michalos O.d. NPPES

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

DR. PHILLIP JOHN MICHALOS O.D. (NPI 1487686051) is an individual optometrist in Cleveland, Ohio, licensed in Ohio (3426) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1979).

NPPES Registry Identity

NPI1487686051
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PHILLIP JOHN MICHALOSCredential: O.D.
Location Address10680 LORAIN AVECleveland, OH 44111-5411
Mailing Address16400 Hilliard RdLakewood, OH 44107-5610 · (216) 228-1800 · Fax (216) 228-1162
Fax(216) 671-6985
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1979
Enumeration DateJuly 6, 2006
Last NPPES UpdateJuly 20, 2017
✔ NPI 1487686051 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 OH · 3426
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.
10680 LORAIN AVE, Cleveland, OH 44111

Other Identifiers 3

Medicare UPINT47617OH
Medicare ID-Type Unspecified0517952OH
Medicaid0324232OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Phillip John Michalos 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 ID1658402920
PECOS Enrollment IDI20100630000418
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.

Medicare Billing Reassignment

Medicare enrollment records show Phillip Michalos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
21375 LORAIN RD
Fairview Park, OH 44126
  • Reassigned Medicare billing, Ohio enrollment
  • 22 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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 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.
811 services760 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.
390 services381 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.
367 services290 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.
357 services317 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
276 services273 patients
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.
43 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44111 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $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.

76.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost20.63

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier11 claims11 services$51.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Optometrist
10680 LORAIN AVE
CLEVELAND, OH 44111

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 Phillip Michalos's NPI number?

The NPI number for Phillip Michalos is 1487686051. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Phillip Michalos located?

Phillip Michalos practices at 10680 Lorain Ave, Cleveland, OH 44111. The listed phone number is (216) 671-2998.

What is Phillip Michalos's specialty?

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

Is Phillip Michalos enrolled in Medicare?

Yes. Phillip Michalos 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.

Which organization bills Medicare for Phillip Michalos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Michalos reassigns Medicare benefits to Fairview Eye Center, Inc (Fairview Park, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Phillip Michalos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phillip Michalos accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and MedMutual and 8 other insurers list Phillip Michalos 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 Phillip Michalos was last updated on July 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.