COURTNEY MOLITERNO (OD) – Optometrist, NPI 1952663924

COURTNEY MOLITERNO (OD) is a healthcare provider. based in Birch run, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4901004706 (MI). The NPI Number for COURTNEY MOLITERNO (OD) is 1952663924

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY MOLITERNO (OD)
NPI
1952663924
Phone
(989) 624-2020
Address
8470 MAIN ST
Enumeration Date
14 June 2012
Last Update Date
17 September 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8102309292
Graduation Year
2012 (14 years ago)
PAC ID
9234388091
Group Practice PAC ID
3375765803
Professional Enrollment ID
I20121011000398
Address ID
MI485071216FL4325XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

Provider Addresses for COURTNEY MOLITERNO (OD)

  • 8470 MAIN ST

    BIRCH RUN, MI 484159461

    Phone: (989) 624-2020

    Fax: (989) 624-6257

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $226.

Total Amount is formed as General ($226) + Research ($0) + Ownership ($0) = $226.

Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($106).

Total Amount

$226

General + Research + Ownership

Payments

11

Total payment records

General Amount

$226

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-30

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: 2012-10-11

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121011000398IOptometryMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system9383$0
92250Photography of the retina5554$0
66984Removal of cataract with insertion of prosthetic lens3518$0
92133Imaging of optic nerve1413$0
92083Exam of visual field with extended testing1313$0
View full utilization report →

Insurance plans in this area (ZIP 48415)

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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: 3375765803View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
-MI
O P T O M E T R YMI
O P T O M E T R YMI

Reviews

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Frequently asked questions

Can I cross-check COURTNEY MOLITERNO (OD) using NPI 1952663924?
NPI 1952663924 belongs to COURTNEY MOLITERNO (OD); compare other details if you need extra assurance.
Is COURTNEY MOLITERNO (OD) still an active registrant?
COURTNEY MOLITERNO (OD) carries an active NPI according to the public dataset.
What kind of doctor is COURTNEY MOLITERNO (OD)?
COURTNEY MOLITERNO (OD) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Is COURTNEY MOLITERNO (OD) located near Birch Run?
COURTNEY MOLITERNO (OD) currently maps to Birch Run, Michigan in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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