DR. MICHAEL JAMES MCGOVERN O.D.
NPI 1669470530
Optometrist in Lake Ronkonkoma, NY
About Dr. Michael James Mcgovern O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL JAMES MCGOVERN O.D. (NPI 1669470530) is an individual optometrist in Lake Ronkonkoma, New York, licensed in New York (TUV5891) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted 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. Michael James Mcgovern O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Michael Mcgovern reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10036
- Reassigned Medicare billing, New York enrollment
- 216 clinicians in this Medicare group
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 11779 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKE RONKONKOMA, NY 11779
LAKE RONKONKOMA, NY 11779
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 Mcgovern's NPI number?
The NPI number for Michael Mcgovern is 1669470530. It was assigned to this individual provider in the NPPES registry on July 13, 2005.
Where is Michael Mcgovern located?
Michael Mcgovern practices at 624 Hawkins Ave Suite #1, Lake Ronkonkoma, NY 11779. The listed phone number is (631) 588-5100.
What is Michael Mcgovern's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Michael Mcgovern enrolled in Medicare?
Yes. Michael Mcgovern is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Michael Mcgovern's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Mcgovern reassigns Medicare benefits to State Of New York Comptrollers Office (New York, NY). The 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 Michael Mcgovern's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Mcgovern accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Michael Mcgovern 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 Mcgovern was last updated on May 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Michael James Mcgovern, O.D. · NPI 1669470530
Optometrist provider in Lake Ronkonkoma, New York. Individual provider, active in the CMS NPPES registry since July 13, 2005.
## Identity
- **NPI:** 1669470530 (Entity type: Individual)
- **Enumerated:** July 13, 2005
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** TUV5891 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 624 HAWKINS AVE, SUITE #1, Lake Ronkonkoma, NY 11779-2324
- **Phone:** (631) 588-5100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** State Of New York Comptrollers Office (NPI 1407829856, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2008
- **Other identifiers:** Medicare PIN C3911C07771 (NY); Medicaid 01870373 (NY); Medicare UPIN U70027 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1669470530) · Data from the CMS NPPES public registry.