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MR. MICHAEL RYAN BALLIET O.D.
NPI 1639300072
Optometrist in Palmerton, PA

Active since August 03, 2009PECOS EnrolledAccepts Medicare Assignment
538 DELAWARE AVE, PALMERTON, PA 18071(610) 826-2222(610) 826-4001 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Michael Ryan Balliet O.d. NPPES

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

MR. MICHAEL RYAN BALLIET O.D. (NPI 1639300072) is an individual optometrist in Palmerton, Pennsylvania, licensed in Pennsylvania (OEG002270) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2009).

NPPES Registry Identity

NPI1639300072
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. MICHAEL RYAN BALLIETCredential: O.D.
Location Address538 DELAWARE AVEPalmerton, PA 18071-1911
Mailing Address538 Delaware AvePalmerton, PA 18071-1911 · (610) 826-2222 · Fax (610) 826-4001
Phone(610) 826-2222
Fax(610) 826-4001
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 2009
Enumeration DateAugust 3, 2009
Last NPPES UpdateFebruary 12, 2026
NPPES CertifiedFebruary 10, 2020
✔ NPI 1639300072 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 PA · OEG002270
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.
538 DELAWARE AVE, Palmerton, PA 18071
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Highmark Blue Cross Blue Shield Delaware 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

Mr. Michael Ryan Balliet 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 ID1355476243
PECOS Enrollment IDI20100317000546
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 11

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 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.
378 services375 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.
181 services136 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.
107 services81 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
97 services95 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.
89 services78 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.
81 services81 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18071 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 2

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

WALTERS OPTOMETRIC CENTER, P. C.
Optometrist
538 DELAWARE AVE
PALMERTON, PA 18071
Carbon County (610) 826-2222
MOUNTAIN VIEW OPTOMETRY, P.C.
Optometrist
538 DELAWARE AVE
PALMERTON, PA 18071
Carbon County (610) 826-2222

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 Michael Balliet's NPI number?

The NPI number for Michael Balliet is 1639300072. It was assigned to this individual provider in the NPPES registry on August 3, 2009.

Where is Michael Balliet located?

Michael Balliet practices at 538 Delaware Ave, Palmerton, PA 18071. The listed phone number is (610) 826-2222.

What is Michael Balliet's specialty?

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

Is Michael Balliet enrolled in Medicare?

Yes. Michael Balliet 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 Michael Balliet accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Highmark Blue Cross Blue Shield Delaware and Highmark Blue Cross Blue Shield West Virginia list Michael Balliet 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 Michael Balliet was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.