DR. MARK MICHELS MD
NPI 1609880178
Ophthalmology - Retina Specialist in Palm Beach Gardens, FL

Q: What is Mark Michels's NPI number?

The NPI number for Mark Michels is 1609880178. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Q: What is Mark Michels's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Mark Michels was last updated on November 30, 2017. 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.

Active since July 28, 2006PECOS Enrolled

91.29/100

CMS Quality Rating

3399 PGA BLVD, STE 350, PALM BEACH GARDENS, FL 33410(561) 624-0099(561) 624-7373 Get Directions Write a Review

NPPES record last updated: November 30, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Mark Michels Md NPPES

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

DR. MARK MICHELS MD (NPI 1609880178) is an individual retina specialist in Palm Beach Gardens, Florida, licensed in Florida (ME60054) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609880178

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameDR. MARK MICHELSCredential: MD

Location Address3399 PGA BLVD, STE 350Palm Beach Gardens, FL 33410

Mailing Address3399 Pga Blvd, Ste 350Palm Beach Gardens, FL 33410 · (561) 624-0099 · Fax (561) 624-7373

Phone(561) 624-0099

Fax(561) 624-7373

Sole ProprietorNo

Enumeration DateJuly 28, 2006

Last NPPES UpdateNovember 30, 2017

✔ NPI 1609880178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in FL · ME60054

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License ME60054 (FL)

3399 PGA BLVD, Palm Beach Gardens, FL 33410

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Other Identifiers 3

Medicare UPINE73288

Medicaid056453200FL

Medicare PINAH986

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Michels Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Mark Michels reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Retina Care Specialists PLLC

Same address

Ophthalmology

3399 PGA BLVD, STE 350
Palm Beach Gardens, FL 33410

Reassigned Medicare billing, Florida enrollment
8 clinicians in this Medicare group

NPI 1912192139 (561) 624-0099

Stuart Eye Institute PA

26 mi

Ophthalmology

2090 SE OCEAN BLVD
Stuart, FL 34996

Reassigned Medicare billing, Florida enrollment
7 clinicians in this Medicare group

NPI 1043283195 (772) 287-8777

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33410 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

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.

91.29/100

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

Scored as part of a group practice

Quality

82.59

Improvement Activities

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.

DR. ADRIAN M LAVINA MD

Ophthalmology (Retina Specialist)

3399 PGA BLVD, SUITE 350
PALM BEACH GARDENS, FL 33410

Palm Beach County (561) 624-0099

PHILIP WALTON LAIRD MD

Ophthalmology (Retina Specialist)

3399 PGA BLVD, SUITE 350
PALM BEACH GARDENS, FL 33410

Palm Beach County (561) 624-0099

RETINA CARE SPECIALISTS

Ophthalmology

3399 PGA BLVD, STE 350
PALM BEACH GARDENS, FL 33410

Palm Beach County (561) 624-0099

RETINA CARE SPECIALISTS PLLC

Ophthalmology

3399 PGA BLVD, STE 350
PALM BEACH GARDENS, FL 33410

Palm Beach County (561) 624-0099

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 Mark Michels's NPI number?

The NPI number for Mark Michels is 1609880178. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Mark Michels located?

Mark Michels practices at 3399 Pga Blvd Ste 350, Palm Beach Gardens, FL 33410. The listed phone number is (561) 624-0099.

What is Mark Michels's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Mark Michels enrolled in Medicare?

Yes. Mark Michels is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Michels's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Michels reassigns Medicare benefits to 2 organizations: Retina Care Specialists PLLC (Palm Beach Gardens, FL) and Stuart Eye Institute PA (Stuart, FL). Each 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 Mark Michels's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Michels accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Mark Michels 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 Mark Michels was last updated on November 30, 2017. 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.