PHILLIP R ELSTON (OD) – Optometrist, NPI 1205829629
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,204 OPTOMETRY in MI
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Provider Addresses for PHILLIP R ELSTON (OD)
Illinois College of Optometry, 3241, South Michigan Avenue, Bronzeville, Douglas, Chicago, Cook County, Illinois, 60616, United States
CHICAGO, IL 606163849
Phone: (336) 413-8843
Fax: (312) 949-7660
Type: Mailing
970, South Old Woodward Avenue, Birmingham, Oakland County, Michigan, 48009, United States
BIRMINGHAM, MI 480096726
Phone: (248) 369-3300
Fax: (248) 369-3275
Type: Location
3241 S Michigan Ave
Chicago, IL 606163849
Phone: (336) 413-8843
Fax: (312) 949-7660
Type: Location
519 N Pontiac Trl
Walled Lake, MI 483903442
Phone: (248) 624-1707
Fax: (248) 624-0203
Type: Location
608 N Lafayette St
South Lyon, MI 481782001
Phone: (248) 437-3351
Fax: (248) 437-0738
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $192.
Total Amount is formed as General ($192) + Research ($0) + Ownership ($0) = $192.
Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($84).
Total Amount
$192
General + Research + Ownership
Payments
5
Total payment records
General Amount
$192
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Vision Care, Inc. | $84 |
| BIOTISSUE HOLDINGS INC. | $60 |
| CooperVision Inc. | $48 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-05-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070522000483 | I | Optometry | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 18 | 15 | $0 |
| 92014 | Established patient complete exam of visual system | 14 | 14 | $0 |
Insurance plans in this area (ZIP 60616)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MI |
Reviews
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