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DR. THEODORE JAMES BILLY O.D.
NPI 1861461766
Optometrist in Chesaning, MI

Active since March 15, 2006PECOS EnrolledAccepts Medicare Assignment
1555 BRADY ROAD, CHESANING, MI 48616(989) 845-7050(989) 845-2036 Get Directions Write a Review

NPPES record last updated: July 2, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Theodore James Billy O.d. NPPES

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

DR. THEODORE JAMES BILLY O.D. (NPI 1861461766) is an individual optometrist in Chesaning, Michigan, licensed in Michigan (4901003965) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1998).

NPPES Registry Identity

NPI1861461766
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. THEODORE JAMES BILLYCredential: O.D.
Location Address1555 BRADY ROADChesaning, MI 48616-0355
Mailing Address1555 Brady RoadChesaning, MI 48616-0355 · (989) 845-7050 · Fax (989) 845-2036
Phone(989) 845-7050
Fax(989) 845-2036
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1998
Enumeration DateMarch 15, 2006
Last NPPES UpdateJuly 2, 2009
✔ NPI 1861461766 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 · 4901003965
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.
1555 BRADY ROAD, Chesaning, MI 48616
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Other Identifiers 4

Medicare ID-Type UnspecifiedN17900002MI
Medicare NSC0199800001MI
Medicaid944316613MI
Medicare UPINU82023MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Theodore James Billy O.d. 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 ID8224170899
PECOS Enrollment IDI20100120000145
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 5

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.
104 services104 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.
22 services14 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.
20 services15 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.
18 services18 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48616 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 4

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

DAVID E. DURYEA, O.D., P.C.
Optometrist
1555 BRADY ROAD
CHESANING, MI 48616
Saginaw County (989) 845-7050
DAVID E. DURYEA, O.D., P.C
Optometrist
1555 BRADY ROAD
CHESANING, MI 48616
Saginaw County (989) 845-7050
DR. DAVID ERIC DURYEA O.D.
Optometrist
1555 BRADY ROAD
CHESANING, MI 48616
Saginaw County (989) 845-7050
DR. AUTUMN KAY WICKE O.D.
Optometrist
1555 BRADY ROAD
CHESANING, MI 48616
Saginaw County (989) 845-7050

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 Theodore Billy's NPI number?

The NPI number for Theodore Billy is 1861461766. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Where is Theodore Billy located?

Theodore Billy practices at 1555 Brady Road, Chesaning, MI 48616. The listed phone number is (989) 845-7050.

What is Theodore Billy's specialty?

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

Is Theodore Billy enrolled in Medicare?

Yes. Theodore Billy 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 Theodore Billy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 9 other insurers list Theodore Billy 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 Theodore Billy was last updated on July 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.