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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ETHAN JARED DUPUIS OD
NPI 1740073238
Optometrist in Birmingham, MI

Active since May 27, 2025PECOS EnrolledAccepts Medicare Assignment
800 S ADAMS RD STE 201, BIRMINGHAM, MI 48009(248) 644-8060(248) 644-5081 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 24, 2026, Apr 27, 2026, Jul 2, 2025 and 1 more (4 updates tracked since 2025).

About Ethan Jared Dupuis Od NPPES

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

ETHAN JARED DUPUIS OD (NPI 1740073238) is an individual optometrist in Birmingham, Michigan, licensed in Michigan (4901005904) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2025).

NPPES Registry Identity

NPI1740073238
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameETHAN JARED DUPUISCredential: OD
Location Address800 S ADAMS RD STE 201Birmingham, MI 48009-7008
Mailing Address17228 Cove DrNorthville, MI 48168-2288 · (810) 908-8930
Phone(248) 644-8060
Fax(248) 644-5081
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2025
Enumeration DateMay 27, 2025
Last NPPES UpdateSeptember 24, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1740073238 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 MI · 4901005904
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.
800 S ADAMS RD STE 201, Birmingham, MI 48009
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ethan Jared Dupuis Od 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 ID9436627833
PECOS Enrollment IDI20260505000137
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.

Medicare Billing Reassignment

Medicare enrollment records show Ethan Dupuis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oakland Ophthalmic Surgery PC
0.8 mi
Ophthalmology
800 S ADAMS RD, SUITE 201
Birmingham, MI 48009
  • Reassigned Medicare billing, Michigan enrollment
  • 9 clinicians in this Medicare group
NPI 1801880984 (248) 644-8060

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 48009 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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

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

JOHN JAMES BUSHAW IV OD
Optometrist
800 S ADAMS RD STE 201
BIRMINGHAM, MI 48009
Oakland County (248) 644-8060

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 Ethan Dupuis's NPI number?

The NPI number for Ethan Dupuis is 1740073238. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Where is Ethan Dupuis located?

Ethan Dupuis practices at 800 S Adams Rd Ste 201, Birmingham, MI 48009. The listed phone number is (248) 644-8060.

What is Ethan Dupuis's specialty?

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

Is Ethan Dupuis enrolled in Medicare?

Yes. Ethan Dupuis 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.

Which organization bills Medicare for Ethan Dupuis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Dupuis reassigns Medicare benefits to Oakland Ophthalmic Surgery PC (Birmingham, MI). 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 Ethan Dupuis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ethan Dupuis accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Health, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 6 other insurers list Ethan Dupuis 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 Ethan Dupuis was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.