DR. ARLENE DAWN BARTON O.D.
NPI 1952442964
Optometrist in New Baltimore, MI

Active since February 11, 2007PECOS EnrolledAccepts Medicare Assignment
35445 23 MILE RD, NEW BALTIMORE, MI 48047(586) 716-9101 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Arlene Dawn Barton O.d. NPPES

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

DR. ARLENE DAWN BARTON O.D. (NPI 1952442964) is an individual optometrist in New Baltimore, Michigan, licensed in Michigan (4901003352) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (1990).

NPPES Registry Identity

NPI1952442964
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ARLENE DAWN BARTONCredential: O.D.
Location Address35445 23 MILE RDNew Baltimore, MI 48047-3601
Mailing Address6780 Trumble RdSaint Clair, MI 48079-4408 · (810) 329-4263 · Fax (586) 598-3941
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 1990
Enumeration DateFebruary 11, 2007
Last NPPES UpdateJanuary 23, 2024
NPPES CertifiedJanuary 23, 2024
✔ NPI 1952442964 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 · 4901003352
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.
35445 23 MILE RD, New Baltimore, MI 48047

Other Identifiers 2

Other1992976823Total Vision Center
Medicaid1952442964MI

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. Arlene Dawn Barton 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 ID1355488644
PECOS Enrollment IDI20091019000316
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 Reassignments

2

Medicare enrollment records show Arlene Barton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
35445 23 MILE RD
New Baltimore, MI 48047
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group
Optometrist
1280 S 9TH ST
Saint Clair, MI 48079
  • Reassigned Medicare billing, Michigan enrollment

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

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.
36 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48047 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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
35445 23 MILE RD
NEW BALTIMORE, MI 48047

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 Arlene Barton's NPI number?

The NPI number for Arlene Barton is 1952442964. It was assigned to this individual provider in the NPPES registry on February 11, 2007.

Where is Arlene Barton located?

Arlene Barton practices at 35445 23 Mile Rd, New Baltimore, MI 48047. The listed phone number is (586) 716-9101.

What is Arlene Barton's specialty?

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

Is Arlene Barton enrolled in Medicare?

Yes. Arlene Barton 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 organizations bill Medicare for Arlene Barton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arlene Barton reassigns Medicare benefits to 2 organizations: Four Towers Investment Inc. (New Baltimore, MI) and Distinctive Eyewear, Inc. (Saint Clair, MI). Each 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 Arlene Barton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Arlene Barton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 14 other insurers list Arlene Barton 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 Arlene Barton was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.