DR. MICHAEL M KWARCINSKI O.D.
NPI 1710975917
Optometrist in Birmingham, AL

Active since October 11, 2005PECOS EnrolledAccepts Medicare Assignment
5510 HIGHWAY 280, SUITE 213, BIRMINGHAM, AL 35242(205) 981-0103(205) 981-6428 Get Directions Write a Review

NPPES record last updated: February 2, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael M Kwarcinski O.d. NPPES

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

DR. MICHAEL M KWARCINSKI O.D. (NPI 1710975917) is an individual optometrist in Birmingham, Alabama, licensed in Alabama (S888TA444) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (1998).

NPPES Registry Identity

NPI1710975917
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL M KWARCINSKICredential: O.D.
Location Address5510 HIGHWAY 280, SUITE 213Birmingham, AL 35242-6582
Mailing Address5510 Highway 280, Suite 213Birmingham, AL 35242-6582 · (205) 981-0103 · Fax (205) 981-6428
Fax(205) 981-6428
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 1998
Enumeration DateOctober 11, 2005
Last NPPES UpdateFebruary 2, 2017
NPI 1710975917 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 AL · S888TA444
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.

5510 HIGHWAY 280, Birmingham, AL 35242

Other Identifiers 9

Medicare ID-Type Unspecified20894AL
Medicaid000020894AL
Medicaid000020895AL
Medicare ID-Type Unspecified20895AL
Medicare NSC1074080015AL
Medicare PIN000020895AK
Medicare UPINU76754
Medicare NSC1074080001AL
Medicare PIN000020894AL

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

Dr. Michael M Kwarcinski 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 ID3274725528
PECOS Enrollment IDI20101006000019
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.
59 services51 patients
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.
57 services57 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.
47 services38 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.
37 services34 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
19 services15 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.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35242 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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 9

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

Optometrist
5510 HIGHWAY 280, SUITE 213
BIRMINGHAM, AL 35242
Psychiatry & Neurology (Psychiatry)
5510 HIGHWAY 280, SUITE 215
BIRMINGHAM, AL 35242
Pharmacist
5510 HIGHWAY 280, SUITE 123
BIRMINGHAM, AL 35242
Pharmacist
5510 HIGHWAY 280, SUITE 110
BIRMINGHAM, AL 35242
Dentist (General Practice)
5510 HIGHWAY 280, SUITE 104-105
BIRMINGHAM, AL 35242
Dentist (Orthodontics and Dentofacial Orthopedics)
5510 HIGHWAY 280, SUITE 201
BIRMINGHAM, AL 35242
Dentist (General Practice)
5510 HIGHWAY 280, SUITE 104
BIRMINGHAM, AL 35242
Pain Medicine (Pain Medicine)
5510 HIGHWAY 280, SUITE 215
BIRMINGHAM, AL 35242

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 Kwarcinski's NPI number?

The NPI number for Michael Kwarcinski is 1710975917. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Michael Kwarcinski located?

Michael Kwarcinski practices at 5510 Highway 280 Suite 213, Birmingham, AL 35242. The listed phone number is (205) 981-0103.

What is Michael Kwarcinski's specialty?

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

Is Michael Kwarcinski enrolled in Medicare?

Yes. Michael Kwarcinski 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 Kwarcinski accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross Blue Shield of Wyoming and 8 other insurers list Michael Kwarcinski 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 Kwarcinski was last updated on February 2, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.