ORLANDO AVENA
NPI 1831641919
Optometrist in South Bend, IN

Active since October 25, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
707 NORTH MICHIGAN STREET, SUITE 210, SOUTH BEND, IN 46601(574) 233-2114(574) 288-8921 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 1, 2022, Sep 3, 2019, Oct 25, 2016 (3 updates tracked since 2016).

About Orlando Avena NPPES

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

ORLANDO AVENA (NPI 1831641919) is an individual optometrist in South Bend, Indiana, licensed in Indiana (18004002A) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1831641919
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameORLANDO AVENA
Location Address707 NORTH MICHIGAN STREET, SUITE 210South Bend, IN 46601-1069
Mailing Address707 North Michigan Street, Suite 210South Bend, IN 46601-1069 · (574) 233-2114 · Fax (574) 288-8921
Fax(574) 288-8921
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 25, 2016
Last NPPES UpdateFebruary 1, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2022
NPI 1831641919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in IN · 18004002A Licensed in MI · 4901005097
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.

707 NORTH MICHIGAN STREET, SUITE 210, South Bend, IN 46601

Other Identifiers 1

Medicaid300015571IN

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 and accepts Medicare assignment

Orlando Avena 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 ID1850665761
PECOS Enrollment IDI20180725002933
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 10

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.
311 services301 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.
113 services108 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.
66 services57 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.
57 services40 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
50 services50 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).
47 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES

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

Ophthalmology
707 NORTH MICHIGAN STREET, SUITE 210
SOUTH BEND, IN 46601

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 Orlando Avena's NPI number?

The NPI number for Orlando Avena is 1831641919. It was assigned to this individual provider in the NPPES registry on October 25, 2016.

Where is Orlando Avena located?

Orlando Avena practices at 707 North Michigan Street, Suite 210, South Bend, IN 46601. The listed phone number is (574) 233-2114.

What is Orlando Avena's specialty?

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

Is Orlando Avena enrolled in Medicare?

Yes. Orlando Avena 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.

What insurance does Orlando Avena accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Orlando Avena 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 Orlando Avena was last updated on February 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.