DR. MICHAEL JAMES BANGERT MICHAEL BANGERT, OD
NPI 1629124151
Optometrist in Fort Wayne, IN

Q: What is Michael Bangert's NPI number?

The NPI number for Michael Bangert is 1629124151. It was assigned to this individual provider in the NPPES registry on January 26, 2007. The provider is also known as Dr. Michael James Bangert Michael Bangert O.D..

Q: What is Michael Bangert's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Bangert was last updated on July 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 January 26, 2007PECOS Enrolled

4626 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 432-5502(260) 432-8415 Get Directions Write a Review

NPPES record last updated: July 30, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Michael James Bangert Michael Bangert, Od NPPES

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

DR. MICHAEL JAMES BANGERT MICHAEL BANGERT, OD (NPI 1629124151) is an individual optometrist in Fort Wayne, Indiana, licensed in Indiana (18001776B) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629124151

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. MICHAEL JAMES BANGERTCredential: MICHAEL BANGERT, OD

Location Address4626 W JEFFERSON BLVDFort Wayne, IN 46804-6826

Mailing Address4626 W Jefferson BlvdFort Wayne, IN 46804-6826 · (260) 432-5502 · Fax (260) 432-8415

Phone(260) 432-5502

Fax(260) 432-8415

Sole ProprietorNo

Enumeration DateJanuary 26, 2007

Last NPPES UpdateJuly 30, 2013

✔ NPI 1629124151 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 IN · 18001776B

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.

4626 W JEFFERSON BLVD, Fort Wayne, IN 46804

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Other Names 1

Other Name (5)Dr. Michael James Bangert Michael Bangert O.d.

Other Identifiers 6

Medicare PINM40006415IN

Medicare PINP00671548IN

Medicare PIN056650IN

Other410005869IN · Retired Railroad Medicare

Medicare NSC0679970001IN

Medicare UPINT69230IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael James Bangert Michael Bangert, Od 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 Reassignment

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

Apple Eyecare Fw Southwest LLC

Same address

Optometrist

4626 W JEFFERSON BLVD
Fort Wayne, IN 46804

Reassigned Medicare billing, Indiana enrollment
4 clinicians in this Medicare group

NPI 1285375014 (260) 432-5502

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 46804 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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 8

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

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