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DR. BENJAMIN JAMES SIKKENGA OD
NPI 1508343047
Optometrist in Norton Shores, MI

Active since July 27, 2018PECOS EnrolledAccepts Medicare Assignment
951 SEMINOLE RD, NORTON SHORES, MI 49441(231) 780-4700(231) 780-4700 Get Directions Write a Review

NPPES record last updated: July 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Benjamin James Sikkenga Od NPPES

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

DR. BENJAMIN JAMES SIKKENGA OD (NPI 1508343047) is an individual optometrist in Norton Shores, Michigan, licensed in Michigan (4901005151) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Ferris State College - College Of Optometry (2018).

NPPES Registry Identity

NPI1508343047
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. BENJAMIN JAMES SIKKENGACredential: OD
Location Address951 SEMINOLE RDNorton Shores, MI 49441-4341
Mailing Address951 Seminole RdNorton Shores, MI 49441-4341 · (231) 780-4700 · Fax (231) 780-4700
Phone(231) 780-4700
Fax(231) 780-4700
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 2018
Enumeration DateJuly 27, 2018
✔ NPI 1508343047 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 · 4901005151
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.
951 SEMINOLE RD, Norton Shores, MI 49441
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13106 Glade StMuskegon, MI 49444-2706 · Phone (231) 733-9669 · Fax (231) 733-9669
Location 238 N Division StHesperia, MI 49421-5100 · Phone (231) 854-3000 · Fax (231) 854-3000

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

Dr. Benjamin James Sikkenga 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 ID2163772518
PECOS Enrollment IDI20180905001408
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 5

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.
125 services105 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.
105 services103 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.
34 services26 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.
33 services33 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).
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49441 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.

Other Providers at the Same Location NPPES 5

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

GARRISON JAMES FARR O.D.
Optometrist
951 SEMINOLE RD
NORTON SHORES, MI 49441
Muskegon County (231) 780-4700
DR. JULIA TOTTEN OD
Optometrist
951 SEMINOLE RD
NORTON SHORES, MI 49441
Muskegon County (231) 780-4700
LAKESHORE PROFESSIONAL EYECARE PC
Optometrist
951 SEMINOLE RD, SUITE 1
NORTON SHORES, MI 49441
Muskegon County (231) 780-4700
DR. DOUGLAS LEON TOTTEN O.D.
Optometrist
951 SEMINOLE RD
NORTON SHORES, MI 49441
Muskegon County (231) 780-4700
NATHAN DUANE GILMORE OD
Optometrist
951 SEMINOLE RD
NORTON SHORES, MI 49441
Muskegon County (231) 780-4700

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 Benjamin Sikkenga's NPI number?

The NPI number for Benjamin Sikkenga is 1508343047. It was assigned to this individual provider in the NPPES registry on July 27, 2018.

Where is Benjamin Sikkenga located?

Benjamin Sikkenga practices at 951 Seminole Rd, Norton Shores, MI 49441. The listed phone number is (231) 780-4700.

What is Benjamin Sikkenga's specialty?

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

Is Benjamin Sikkenga enrolled in Medicare?

Yes. Benjamin Sikkenga 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 Benjamin Sikkenga accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Benjamin Sikkenga 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 Benjamin Sikkenga was last updated on July 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.