MAKAYLA JO PORTER (OD) – Optometrist, NPI 1053988394

MAKAYLA JO PORTER (OD) is a healthcare provider. based in Hudsonville, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4901005517 (MI). The NPI Number for MAKAYLA JO PORTER (OD) is 1053988394

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MAKAYLA JO PORTER (OD)
NPI
1053988394
Phone
(812) 240-9888
Address
2056 MORGAN RUN
Enumeration Date
7 June 2021
Last Update Date
7 June 2021

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
4148179100
Graduation Year
2021 (5 years ago)
PAC ID
3577099589
Group Practice PAC ID
4385639616
Professional Enrollment ID
I20251030001498
Address ID
WI532211302MI3500XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

Provider Addresses for MAKAYLA JO PORTER (OD)

  • 2056 MORGAN RUN

    HUDSONVILLE, MI 49426

    Phone: (812) 240-9888

    Type: Mailing

  • 4763 WILSON AVE SW STE G&H

    GRANDVILLE, MI 494189015

    Phone: (616) 261-4811

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2024-04-01 • Largest payer in this snapshot: Alcon Vision LLC ($23).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-10-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241212004139IOptometryMITBD
I20241214000186IOptometryMDTBD
I20241216000020IOptometryDCTBD
I20241216000667IOptometryNYTBD
I20250513002774IOptometryILTBD
I20251030001498IOptometryWITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49426)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385639616View full group profile
NameSpecialtyState
O P T O M E T R YCA
O P T O M E T R YTX
O P T O M E T R YTN
O P T O M E T R YWI
O P T O M E T R YTX
O P T O M E T R YIL
O P T O M E T R YMN
O P T O M E T R YVA

Reviews

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Frequently asked questions

What is MAKAYLA JO PORTER (OD)'s NPI number?
MAKAYLA JO PORTER (OD)'s NPI is 1053988394 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MAKAYLA JO PORTER (OD)?
You should see MAKAYLA JO PORTER (OD) as active in CMS-hosted NPPES data.
What clinical focus is listed for MAKAYLA JO PORTER (OD)?
At a glance, MAKAYLA JO PORTER (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Where in Michigan is MAKAYLA JO PORTER (OD) registered?
Use Hudsonville, Michigan as the headline location for MAKAYLA JO PORTER (OD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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