DR. MICHAEL JAMES HUTTON OD
NPI 1811966674
Optometrist in Lewistown, PA

Active since March 15, 2006PECOS EnrolledAccepts Medicare Assignment
99.16/100
CMS Quality Rating
19 W 3RD ST, LEWISTOWN, PA 17044(717) 248-5678(717) 242-2716 Get Directions Write a Review

NPPES record last updated: May 15, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Michael James Hutton Od NPPES

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

DR. MICHAEL JAMES HUTTON OD (NPI 1811966674) is an individual optometrist in Lewistown, Pennsylvania, licensed in Pennsylvania (OEG000613) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1981).

NPPES Registry Identity

NPI1811966674
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL JAMES HUTTONCredential: OD
Location Address19 W 3RD STLewistown, PA 17044-1716
Mailing Address19 W 3rd StLewistown, PA 17044-1716 · (717) 248-5678 · Fax (717) 242-2716
Fax(717) 242-2716
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1981
Enumeration DateMarch 15, 2006
Last NPPES UpdateMay 15, 2008
NPI 1811966674 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 PA · OEG000613
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.

19 W 3RD ST, Lewistown, PA 17044

Other Identifiers 3

Medicare PIN416023W2W
OtherP00468803Medicare Railroad Ptan
Medicare UPINT30275

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 James Hutton 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 ID7214960723
PECOS Enrollment IDI20070914000180
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 12

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 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.
321 services320 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
170 services84 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.
137 services108 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.
76 services52 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
72 services61 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).
49 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17044 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

99.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.32
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
83%110 patients4/55-star benchmark: 87%
Diabetes: Eye Exam
99%152 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
95%43 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
98%1,501 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
96%79 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 863 patients
Patients totalRate: 0% · 863 patients
0%863 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers18 claims18 services$50.75 avg. paid by Medicare
Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens V2301
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier20 claims38 services$63.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Optometrist
19 W 3RD ST
LEWISTOWN, PA 17044
Optometrist
19 W 3RD ST
LEWISTOWN, PA 17044
Optometrist
19 W 3RD ST
LEWISTOWN, PA 17044

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 Hutton's NPI number?

The NPI number for Michael Hutton is 1811966674. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Where is Michael Hutton located?

Michael Hutton practices at 19 W 3rd St, Lewistown, PA 17044. The listed phone number is (717) 248-5678.

What is Michael Hutton's specialty?

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

Is Michael Hutton enrolled in Medicare?

Yes. Michael Hutton 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.

When was this NPI record last updated?

The NPPES record for Michael Hutton was last updated on May 15, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.