DR. MICHAEL ICELY OD
NPI 1902127061
Optometrist in Yuma, AZ
About Dr. Michael Icely Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL ICELY OD (NPI 1902127061) is an individual optometrist in Yuma, Arizona, licensed in Arizona (1754) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2010).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Michael Icely 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.
Medicare Billing Reassignment
Medicare enrollment records show Michael Icely reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Yuma, AZ 85364
- Reassigned Medicare billing, Arizona enrollment
- Medicare enrollment name: Raymond R Corona Od PC
- 10 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85364 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
YUMA, AZ 85364
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 Icely's NPI number?
The NPI number for Michael Icely is 1902127061. It was assigned to this individual provider in the NPPES registry on June 11, 2010.
Where is Michael Icely located?
Michael Icely practices at 2149 W 24th St, Yuma, AZ 85364. The listed phone number is (928) 726-1100.
What is Michael Icely's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Michael Icely enrolled in Medicare?
Yes. Michael Icely 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.
Which organization bills Medicare for Michael Icely's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Icely reassigns Medicare benefits to Raymond R. Corona, O.D. P.C. (Yuma, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Icely's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Icely accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 10 other insurers list Michael Icely 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 Icely was last updated on February 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Michael Icely, OD · NPI 1902127061
Optometrist provider in Yuma, Arizona. Individual provider, active in the CMS NPPES registry since June 11, 2010.
## Identity
- **NPI:** 1902127061 (Entity type: Individual)
- **Enumerated:** June 11, 2010
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 1754 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 2149 W 24TH ST, Yuma, AZ 85364-6136
- **Phone:** (928) 726-1100 · **Fax:** (928) 341-0881
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Raymond R. Corona, O.D. P.C. (NPI 1558477968, Yuma, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pacific University - College Of Optometry, class of 2010
## Record status
- **NPPES last updated:** February 2, 2017
- **Other identifiers:** Medicare PIN Z193664 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1902127061) · Data from the CMS NPPES public registry.