CRAIG L MCMANIS O.D.
NPI 1689651275
Optometrist in Indianapolis, IN

Active since December 27, 2005PECOS EnrolledAccepts Medicare Assignment
79.96/100
CMS Quality Rating
901 E 86TH ST, INDIANAPOLIS, IN 46240(317) 844-5500 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 22, 2023, Oct 18, 2016 (2 updates tracked since 2016).

About Craig L Mcmanis O.d. NPPES

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

CRAIG L MCMANIS O.D. (NPI 1689651275) is an individual optometrist in Indianapolis, Indiana, licensed in Indiana (18002231A) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (1985).

NPPES Registry Identity

NPI1689651275
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameCRAIG L MCMANISCredential: O.D.
Location Address901 E 86TH STIndianapolis, IN 46240-1807
Mailing Address425 Southmore StPlainfield, IN 46168-2049 · (765) 414-5337
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 1985
Enumeration DateDecember 27, 2005
Last NPPES UpdateMarch 22, 20232 updates tracked since enumeration
NPPES CertifiedMarch 22, 2023
NPI 1689651275 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 · 18002231A
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.
901 E 86TH ST, Indianapolis, IN 46240

Other Identifiers 1

Other000000562802IN · Blue Cross/blue Shield

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

Craig L Mcmanis 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 ID7012952427
PECOS Enrollment IDI20050627000548
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 2

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.
49 services49 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.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46240 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.

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.

79.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.4
Improvement Activities40
Cost35.33

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.

901 E 86TH ST
INDIANAPOLIS, IN 46240
Ophthalmology
901 E 86TH ST
INDIANAPOLIS, IN 46240
Ophthalmology
901 E 86TH ST
INDIANAPOLLIS, IN 46240
Ophthalmology
901 E 86TH ST
INDIANAPOLIS, IN 46240
Optometrist
901 E 86TH ST
INDIANAPOLIS, IN 46240
Optometrist
901 E 86TH ST
INDIANAPOLIS, IN 46240
Optometrist
901 E 86TH ST
INDIANAPOLIS, IN 46240
Ophthalmology
901 E 86TH ST
INDIANAPOLIS, IN 46240

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 Craig Mcmanis's NPI number?

The NPI number for Craig Mcmanis is 1689651275. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Craig Mcmanis located?

Craig Mcmanis practices at 901 E 86th St, Indianapolis, IN 46240. The listed phone number is (317) 844-5500.

What is Craig Mcmanis's specialty?

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

Is Craig Mcmanis enrolled in Medicare?

Yes. Craig Mcmanis 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 Craig Mcmanis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 4 other insurers list Craig Mcmanis 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 Craig Mcmanis was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.