DR. MICHAEL JAMES MUNRO D.O.
NPI 1871870337
Ophthalmology in Seaford, DE

Active since November 12, 2011PECOS EnrolledAccepts Medicare Assignment
80.56/100
CMS Quality Rating
1305 BRIDGEVILLE HWY, SEAFORD, DE 19973(302) 629-6816(302) 990-4333 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2024, Sep 1, 2022, Jul 28, 2022 and 3 more (6 updates tracked since 2016).

About Dr. Michael James Munro D.o. NPPES

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

DR. MICHAEL JAMES MUNRO D.O. (NPI 1871870337) is an individual ophthalmology provider in Seaford, Delaware, licensed in Delaware (C20011223) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Millville, and is a graduate of Ohio University, College Of Osteopathic Medicine (2007).

NPPES Registry Identity

NPI1871870337
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MICHAEL JAMES MUNROCredential: D.O.
Location Address1305 BRIDGEVILLE HWYSeaford, DE 19973-1616
Mailing Address200 Banning St Ste 130, Halpern Medical Services, LlcDover, DE 19904-3486 · (302) 450-3025 · Fax (302) 990-4441
Fax(302) 990-4333
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2007
Enumeration DateNovember 12, 2011
Last NPPES UpdateApril 17, 20256 updates tracked since enumeration
NPPES CertifiedApril 17, 2025
NPI 1871870337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in DE · C20011223 Licensed in DE · DR0010708 Licensed in DE · FM5146281
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 58.004219 (OH)
1305 BRIDGEVILLE HWY, Seaford, DE 19973

Secondary Practice Location 1

Location 135786 Atlantic Ave Unit 2Millville, DE 19967-6955 · Phone (302) 616-1096 · Fax (302) 402-5200

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

Dr. Michael James Munro D.o. 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 ID1759520786
PECOS Enrollment IDI20150601001655
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 17

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 with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,078 services994 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.
822 services743 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.
735 services462 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).
577 services501 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.
396 services238 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
315 services309 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19973 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

80.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost35.21

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
1305 BRIDGEVILLE HWY
SEAFORD, DE 19973

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 Munro's NPI number?

The NPI number for Michael Munro is 1871870337. It was assigned to this individual provider in the NPPES registry on November 12, 2011.

Where is Michael Munro located?

Michael Munro practices at 1305 Bridgeville Hwy, Seaford, DE 19973. The listed phone number is (302) 629-6816.

What is Michael Munro's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Michael Munro enrolled in Medicare?

Yes. Michael Munro 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 Michael Munro accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Michael Munro 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 Munro was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.