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DR. MICHAEL TERRANCE MCGRATH O.D.
NPI 1942439013
Optometrist in Butler, PA

Active since July 09, 2009PECOS EnrolledAccepts Medicare Assignment
391 EVANS CITY RD, BUTLER, PA 16001(724) 283-8144(724) 283-7303 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 21, 2020, Jan 13, 2016 (2 updates tracked since 2016).

About Dr. Michael Terrance Mcgrath O.d. NPPES

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

DR. MICHAEL TERRANCE MCGRATH O.D. (NPI 1942439013) is an individual optometrist in Butler, Pennsylvania, licensed in Pennsylvania (OEG002314) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2009).

NPPES Registry Identity

NPI1942439013
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL TERRANCE MCGRATHCredential: O.D.
Location Address391 EVANS CITY RDButler, PA 16001
Mailing Address391 Evans City RdButler, PA 16001 · (724) 283-8144 · Fax (724) 283-7303
Phone(724) 283-8144
Fax(724) 283-7303
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2009
Enumeration DateJuly 9, 2009
Last NPPES UpdateApril 21, 20202 updates tracked since enumeration
NPPES CertifiedApril 21, 2020
✔ NPI 1942439013 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 PA · OEG002314✔ Licensed in MD · TA 2145
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.
391 EVANS CITY RD, Butler, PA 16001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.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 Terrance Mcgrath 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 ID143407577
PECOS Enrollment IDI20110610000446
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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Mcgrath reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Butler Eye Care, LLC
Same address
Optometrist
391 EVANS CITY RD
Butler, PA 16001
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 5 clinicians in this Medicare group
NPI 1710333406 (724) 283-8144

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 12

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.
208 services187 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.
64 services64 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).
59 services56 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.
56 services51 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
31 services29 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.
31 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16001 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 2

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

DR. ROBERT CRAIG WHEATALL O.D.
Optometrist
391 EVANS CITY RD
BUTLER, PA 16001
Butler County (724) 283-7303
BUTLER EYE CARE, LLC
Optometrist
391 EVANS CITY RD
BUTLER, PA 16001
Butler County (724) 283-8144

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 Mcgrath's NPI number?

The NPI number for Michael Mcgrath is 1942439013. It was assigned to this individual provider in the NPPES registry on July 9, 2009.

Where is Michael Mcgrath located?

Michael Mcgrath practices at 391 Evans City Rd, Butler, PA 16001. The listed phone number is (724) 283-8144.

What is Michael Mcgrath's specialty?

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

Is Michael Mcgrath enrolled in Medicare?

Yes. Michael Mcgrath 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 Mcgrath's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Mcgrath reassigns Medicare benefits to Butler Eye Care, LLC (Butler, PA). 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 Mcgrath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Mcgrath accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Michael Mcgrath 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 Mcgrath was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.