ADELINE BAUER OD
NPI 1891103818
Optometrist - Corneal and Contact Management in Kentwood, MI

Active since July 23, 2014PECOS EnrolledAccepts Medicare Assignment
4130 BRETON RD SE STE A, KENTWOOD, MI 49512(616) 341-1713(616) 341-1714 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2022, Apr 12, 2017, Nov 3, 2016 (3 updates tracked since 2016).

About Adeline Bauer Od NPPES

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

ADELINE BAUER OD (NPI 1891103818) is an individual corneal and contact management provider in Kentwood, Michigan, licensed in Michigan (4901004841) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Rapids, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1891103818
Entity TypeIndividualFemale
Primary Taxonomy152WC0802X
Provider Legal NameADELINE BAUERCredential: OD
Location Address4130 BRETON RD SE STE AKentwood, MI 49512-3808
Mailing Address4130 Breton Rd Se Ste AKentwood, MI 49512-3808 · (616) 341-1713 · Fax (616) 341-1714
Fax(616) 341-1714
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 23, 2014
Last NPPES UpdateDecember 1, 20223 updates tracked since enumeration
NPPES CertifiedDecember 1, 2022
NPI 1891103818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License Licensed in MI · 4901004841
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Also ListedOptometristTaxonomy 152W00000X · License 4901004841 (MI)
4130 BRETON RD SE STE A, Kentwood, MI 49512

Other Names 1

Professional Name (2)Dr. Adeline Bauer Od

Secondary Practice Location 1

Location 11000 E Paris Ave SE Ste 130Grand Rapids, MI 49546-3680 · Phone (616) 949-2001 · Fax (616) 949-8620

Other Identifiers 3

Other900E476020MI · Blue Cross
Medicaid1871510859MI
Other0784610001MI · Medicare Nsc

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

Adeline Bauer 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 ID3274750096
PECOS Enrollment IDI20140818002373
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49512 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

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

Optometrist
4130 BRETON RD SE STE A
KENTWOOD, MI 49512

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 Adeline Bauer's NPI number?

The NPI number for Adeline Bauer is 1891103818. It was assigned to this individual provider in the NPPES registry on July 23, 2014. The provider is also known as Dr. Adeline Bauer Od.

Where is Adeline Bauer located?

Adeline Bauer practices at 4130 Breton Rd SE Ste A, Kentwood, MI 49512. The listed phone number is (616) 341-1713.

What is Adeline Bauer's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Adeline Bauer enrolled in Medicare?

Yes. Adeline Bauer 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 Adeline Bauer accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 6 other insurers list Adeline Bauer 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 Adeline Bauer was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.