MARKO HABEKOVIC MD
NPI 1992748198
Ophthalmology in Grand Rapids, MI

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1000 E PARIS AVE SE STE 111, GRAND RAPIDS, MI 49546(616) 222-4111(616) 222-4119 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Marko Habekovic Md NPPES

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

MARKO HABEKOVIC MD (NPI 1992748198) is an individual ophthalmology provider in Grand Rapids, Michigan, licensed in Michigan (4301076276) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2000).

NPPES Registry Identity

NPI1992748198
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMARKO HABEKOVICCredential: MD
Location Address1000 E PARIS AVE SE STE 111Grand Rapids, MI 49546-3680
Mailing Address1000 E Paris Ave Se Ste 111Grand Rapids, MI 49546-3680 · (616) 222-4111 · Fax (616) 222-4119
Fax(616) 222-4119
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2000
Enumeration DateJune 14, 2006
Last NPPES UpdateJune 29, 2022
NPPES CertifiedJune 29, 2022
NPI 1992748198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MI · 4301076276
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.

1000 E PARIS AVE SE STE 111, Grand Rapids, MI 49546

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

Marko Habekovic Md 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 ID2668445826
PECOS Enrollment IDI20040816001142
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 12

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
807 services637 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.
187 services166 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
129 services129 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.
119 services116 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).
117 services117 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
78 services73 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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
1000 E PARIS AVE SE STE 111
GRAND RAPIDS, MI 49546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992748198, enumerated as an "individual" on June 14, 2006.

The provider is located at 1000 E PARIS AVE SE STE 111 GRAND RAPIDS, MI 49546 and the phone number is (616) 222-4111.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross and Blue. Please consult your insurance carrier or call the provider to verify.