MR. TROY MICHAEL AVERY O.D.
NPI 1497857429
Optometrist in Lewiston, ME

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
181 RUSSELL ST, LEWISTON, ME 04240(207) 784-1814(207) 783-3159 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Troy Michael Avery O.d. NPPES

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

MR. TROY MICHAEL AVERY O.D. (NPI 1497857429) is an individual optometrist in Lewiston, Maine, licensed in Maine (OPT814) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1995).

NPPES Registry Identity

NPI1497857429
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. TROY MICHAEL AVERYCredential: O.D.
Location Address181 RUSSELL STLewiston, ME 04240-5436
Mailing Address181 Russell StreetLewiston, ME 04240 · (207) 784-1814 · Fax (207) 783-3159
Fax(207) 783-3159
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 1995
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1497857429 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 ME · OPT814
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.

181 RUSSELL ST, Lewiston, ME 04240

Accepted 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

Mr. Troy Michael Avery 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 ID3375588007
PECOS Enrollment IDI20050623000273
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 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.
199 services175 patients
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.
142 services142 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.
100 services97 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
57 services57 patients
Established patient office or other outpatient visit, 10-19 minutes 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.
22 services13 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

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

Other Providers at the Same Location NPPES 4

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

Ophthalmology
181 RUSSELL ST
LEWISTON, ME 04240
Ophthalmology
181 RUSSELL ST
LEWISTON, ME 04240
Ophthalmology
181 RUSSELL ST
LEWISTON, ME 04240
Ophthalmology
181 RUSSELL ST
LEWISTON, ME 04240

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497857429, enumerated as an "individual" on September 01, 2006.

The provider is located at 181 RUSSELL ST LEWISTON, ME 04240 and the phone number is (207) 784-1814.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.