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MICHELE MONTALBANO O.D.
NPI 1699855569
Optometrist in Geneva, IL

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
2197 BLACKBERRY DR STE A, GENEVA, IL 60134(630) 365-2020(630) 365-9828 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Dec 27, 2018 (2 updates tracked since 2018).

About Michele Montalbano O.d. NPPES

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

MICHELE MONTALBANO O.D. (NPI 1699855569) is an individual optometrist in Geneva, Illinois, licensed in Illinois (046-008820) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1995).

NPPES Registry Identity

NPI1699855569
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMICHELE MONTALBANOCredential: O.D.
Location Address2197 BLACKBERRY DR STE AGeneva, IL 60134-4713
Mailing Address2197 Blackberry DrGeneva, IL 60134-4713 · (630) 365-2020 · Fax (630) 365-9828
Phone(630) 365-2020
Fax(630) 365-9828
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1995
Enumeration DateOctober 16, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1699855569 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 IL · 046-008820
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.
2197 BLACKBERRY DR STE A, Geneva, IL 60134
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Other Identifiers 4

OtherIL6941001IL · Medicare Ptan/ Individual
Other04532352IL · Bcbs
Other1407043177IL · Humana/united Healthcare
OtherIL6941IL · Medicare Ptan/ Organization

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Michele Montalbano 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 ID547470908
PECOS Enrollment IDI20120601000031
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 6

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
202 services138 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
105 services103 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.
38 services34 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
30 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 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.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60134 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

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 Michele Montalbano's NPI number?

The NPI number for Michele Montalbano is 1699855569. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Michele Montalbano located?

Michele Montalbano practices at 2197 Blackberry Dr Ste A, Geneva, IL 60134. The listed phone number is (630) 365-2020.

What is Michele Montalbano's specialty?

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

Is Michele Montalbano enrolled in Medicare?

Yes. Michele Montalbano 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 Michele Montalbano accept?

Health plans from Providence Health Plan list Michele Montalbano 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 Michele Montalbano was last updated on March 7, 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.