DR. MICHAEL J MAVENCAMP OD
NPI 1760541676
Optometrist in Fairbanks, AK

Active since December 06, 2006PECOS Enrolled
570 RIVERSTONE WAY, STE 3, FAIRBANKS, AK 99709(907) 479-4700(907) 457-5596 Get Directions Write a Review

NPPES record last updated: August 28, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Michael J Mavencamp Od NPPES

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

DR. MICHAEL J MAVENCAMP OD (NPI 1760541676) is an individual optometrist in Fairbanks, Alaska, licensed in Alaska (A240) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2005).

NPPES Registry Identity

NPI1760541676
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL J MAVENCAMPCredential: OD
Location Address570 RIVERSTONE WAY, STE 3Fairbanks, AK 99709
Mailing Address570 Riverstone Way, Ste 3Fairbanks, AK 99709 · (907) 479-4700 · Fax (907) 457-5596
Fax(907) 457-5596
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2005
Enumeration DateDecember 6, 2006
Last NPPES UpdateAugust 28, 2012
NPI 1760541676 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 AK · A240
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.

570 RIVERSTONE WAY, Fairbanks, AK 99709

Other Identifiers 2

Medicare UPINV07087
Medicare ID-Type UnspecifiedK07087

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 (PECOS)

Dr. Michael J Mavencamp Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618995242
PECOS Enrollment IDI20051102000893
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 8

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, 20-29 minutes 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.
129 services86 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.
86 services73 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.
85 services75 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.
67 services66 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).
64 services57 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.
40 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99709 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
$168.20 typical visit price
range $71.33 – $222.64
Typical copayment $42.05 (range $17.83 – $55.66)
Most-billed visit code 99204
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
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.

Chiropractor
570 RIVERSTONE WAY, SUITE #2
FAIRBANKS, AK 99709
Optometrist
570 RIVERSTONE WAY, STE 3
FAIRBANKS, AK 99709
Optometrist
570 RIVERSTONE WAY, SUITE 3
FAIRBANKS, AK 99709
Optometrist
570 RIVERSTONE WAY, SUITE 3
FAIRBANKS, AK 99709
Dentist
570 RIVERSTONE WAY, SUITE 1
FAIRBANKS, AK 99709
Optometrist
570 RIVERSTONE WAY, STE 3
FAIRBANKS, AK 99709
Massage Therapist
570 RIVERSTONE WAY
FAIRBANKS, AK 99709
Clinic/Center (Multi-Specialty)
570 RIVERSTONE WAY
FAIRBANKS, AK 99709

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760541676, enumerated as an "individual" on December 06, 2006.

The provider is located at 570 RIVERSTONE WAY STE 3 FAIRBANKS, AK 99709 and the phone number is (907) 479-4700.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska,. Please consult your insurance carrier or call the provider to verify.