MICHAEL T CHISM OPTOMETRY STUDENT
NPI 1770866840
Student in an Organized Health Care Education/Training Program in Murray, UT
About Michael T Chism Optometry Student NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL T CHISM OPTOMETRY STUDENT (NPI 1770866840) is an individual student in an organized health care education/training program in Murray, Utah and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS and is a graduate of Western University Of Health Sciences College Of Dental Med (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Michael T Chism Optometry Student 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.
Medicare Billing Reassignment
Medicare enrollment records show Michael Chism reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
South Jordan, UT 84095
- Reassigned Medicare billing, Utah enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MURRAY, UT 84121
MURRAY, UT 84121
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 Chism's NPI number?
The NPI number for Michael Chism is 1770866840. It was assigned to this individual provider in the NPPES registry on September 24, 2011.
Where is Michael Chism located?
Michael Chism practices at 6344 S 900 E, Murray, UT 84121. The listed phone number is (801) 892-8222.
What is Michael Chism's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Michael Chism enrolled in Medicare?
Yes. Michael Chism 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 Michael Chism's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Chism reassigns Medicare benefits to Progressive Eye Care, LLC (South Jordan, UT). 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 Michael Chism's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Chism accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Michael Chism 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 Chism was last updated on January 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Michael T Chism, OPTOMETRY STUDENT · NPI 1770866840
Student in an Organized Health Care Education/Training Program provider in Murray, Utah. Individual provider, active in the CMS NPPES registry since September 24, 2011.
## Identity
- **NPI:** 1770866840 (Entity type: Individual)
- **Enumerated:** September 24, 2011
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 6344 S 900 E, Murray, UT 84121-2439
- **Phone:** (801) 892-8222
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Progressive Eye Care, LLC (NPI 1922282599, South Jordan, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Western University Of Health Sciences College Of Dental Med, class of 2015
## Record status
- **NPPES last updated:** January 22, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1770866840) · Data from the CMS NPPES public registry.