MONIKA FLECKENSTEIN MD
NPI 1609421403
Ophthalmology in Salt Lake City, UT

Active since August 08, 2019PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
65 MARIO CAPECCHI DRIVE, JOHN A. MORAN EYE CENTER, SALT LAKE CITY, UT 84132(801) 585-6622 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Monika Fleckenstein Md NPPES

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

MONIKA FLECKENSTEIN MD (NPI 1609421403) is an individual ophthalmology provider in Salt Lake City, Utah, licensed in Utah (11320078-1251) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1609421403
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameMONIKA FLECKENSTEINCredential: MD
Location Address65 MARIO CAPECCHI DRIVE, JOHN A. MORAN EYE CENTERSalt Lake City, UT 84132
Mailing Address65 Mario Capecchi Drive, John A. Moran Eye CenterSalt Lake City, UT 84132 · (801) 585-6622
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 8, 2019
Last NPPES UpdateOctober 27, 2021
NPPES CertifiedOctober 27, 2021
NPI 1609421403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in UT · 11320078-1251
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
65 MARIO CAPECCHI DRIVE, JOHN A. MORAN EYE CENTER, Salt Lake City, UT 84132

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

Monika Fleckenstein Md 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 ID5597198010
PECOS Enrollment IDI20191213000875
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 9

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.

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.
1,264 services416 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.
1,002 services408 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
797 services167 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.
261 services166 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.
168 services141 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.
46 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

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 Monika Fleckenstein's NPI number?

The NPI number for Monika Fleckenstein is 1609421403. It was assigned to this individual provider in the NPPES registry on August 8, 2019.

Where is Monika Fleckenstein located?

Monika Fleckenstein practices at 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132. The listed phone number is (801) 585-6622.

What is Monika Fleckenstein's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Monika Fleckenstein enrolled in Medicare?

Yes. Monika Fleckenstein 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 Monika Fleckenstein accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Monika Fleckenstein 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.

Is Monika Fleckenstein affiliated with any hospitals?

According to CMS data, Monika Fleckenstein is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Monika Fleckenstein was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.