DR. MARC ALAN MICHELSON M.D.
NPI 1720081961
Ophthalmology in Birmingham, AL

Q: What is Marc Michelson's NPI number?

The NPI number for Marc Michelson is 1720081961. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Q: What is Marc Michelson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Marc Michelson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment

84.37/100

CMS Quality Rating

1201 11TH AVE S, STE 501, BIRMINGHAM, AL 35205(205) 930-0930(205) 930-9050 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Oct 18, 2017 (2 updates tracked since 2017).

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About Dr. Marc Alan Michelson M.d. NPPES

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

DR. MARC ALAN MICHELSON M.D. (NPI 1720081961) is an individual ophthalmology provider in Birmingham, Alabama, licensed in Alabama (7455) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1975).

NPPES Registry Identity

NPI1720081961

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. MARC ALAN MICHELSONCredential: M.D.

Location Address1201 11TH AVE S, STE 501Birmingham, AL 35205-3423

Mailing Address1201 11th Ave S, Ste 501Birmingham, AL 35205-3423 · (205) 930-0930 · Fax (205) 930-9050

Phone(205) 930-0930

Fax(205) 930-9050

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1975

Enumeration DateMay 23, 2005

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1720081961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in AL · 7455

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1201 11TH AVE S, Birmingham, AL 35205

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Other Identifiers 7

Other0488291AL · Umwa

OtherC75218AL · Viva

Other180037822AL · Medicare Travelers

Other180037822AL · Palmetto Gba-medicare

Other510-51072MICAL · Blue Cross Blue Shield

Medicaid000051072AL

Other0810046AL · United Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company, UnitedHealthcare.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. Marc Alan Michelson M.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 ID7012942436

PECOS Enrollment IDI20100315000586

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 9

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.

263 services245 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

194 services81 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.

192 services114 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.

96 services96 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

92 services56 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.

77 services65 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35205 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.

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.

84.37/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

47.9

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.

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