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Deactivated NPI 1609875566 Deactivated / Inactive NPI Male Practitioner

Dr. Jenn Yu Liu , DO

Ophthalmology • Okemos, MI

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jenn Liu has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 21, 2005
NPI Deactivation Date March 20, 2006
Total Practice Duration ~12 Years of Practice (1994 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Jenn Liu, DO was a registered Ophthalmology in Okemos, MI. Prior to record deactivation on 2006-03-20, Dr. Liu completed approximately 12 years of clinical practice following graduation from University Of North Texas Hsc, College Of Osteopathic Med in 1994.

Dr. Liu was affiliated with Lansing Ophthalmology, Pc and accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient outpatient office visit, established patient complete exam of visual system, imaging of optic nerve. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

5100 Marsh Rd Ste H

Okemos, MI 488641195

Telephone 5173490150
Fax 5173490157
Associated Practice Facility / Clinic
🏢 Lo Optical, Llc Facility NPI 1104363951

Medicare Profile & Education

Medical School

University Of North Texas Hsc, College Of Osteopathic Med

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Okemos, MI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
32 Yrs Matches City Avg
City Avg: 32.0 Yrs
State Avg: 27.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Okemos, MI (843 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Liu (32 Years) 32 Yrs
Okemos Specialty Average (32.0 Years) 32.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
568 380 $120.00 $85.43
92014 Established patient complete exam of visual system
460 453 $165.00 $115.12
92133 Imaging of optic nerve
364 344 $99.86 $33.35
92083 Exam of visual field with extended testing
277 264 $140.00 $58.09
92134 Imaging of retina
88 80 $100.00 $37.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
85 79 $150.00 $117.75
66984 Removal of cataract with insertion of lens
58 33 $1205.86 $490.23
92136 Measurement of corneal curvature and depth of eye
58 38 $160.00 $37.39
66821 Removal of recurring cataract in lens capsule using a laser
42 30 $750.00 $290.45
92250 Photography of the retina
37 37 $125.00 $30.83
92004 New patient complete exam of visual system
31 31 $200.00 $139.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
22 22 $210.00 $160.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
18 18 $140.00 $106.97
92201 Extended exam of the back part of the eye with retinal drawing
15 15 $115.00 $23.53
76514 Ultrasound scan of cornea to determine thickness
11 11 $28.00 $8.36

Medical Specialties & State Licenses

CMS Verified: 2023-08-16
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MI 5101012517

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3488767 (MI)
Commercial Insurance / Payer ID Blue Care Network Of Mi
1853302054 (MI)
Commercial Insurance / Payer ID Php
200000026818 (MI)
Commercial Insurance / Payer ID Bcbsm
180C36002 (MI)
Commercial Insurance / Payer ID Railroad Medicare
180036069 (MI)
Commercial Insurance / Payer ID Php Family Care
0870056 (MI)
Commercial Insurance / Payer ID Michigan Bcbs
1853302054 (MI)
Commercial Insurance / Payer ID Php Of Mid Mi
0800056 (MI)

Hospital & Practice Group Affiliations

Lansing Ophthalmology, Pc

5100 Marsh Rd, Okemos, MI 488641195

Phone: 5173490150

Secondary Practice Locations

2790 W Grand River Ave Ste 200

Howell, MI 488438424

Phone: 5175483571

2001 Coolidge Rd

East Lansing, MI 488231378

Phone: 5173371668

1005 Charlevoix Dr Ste 200

Grand Ledge, MI 488378186

Phone: 5176273030

1535 E Broomfield St

Mt Pleasant, MI 488584489

Phone: 9897723339

3600 Capital Ave Sw Ste 203

Battle Creek, MI 490159393

Phone: 2699796383

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1013918069

Doctor of Optometry

NPI 1376951418

Doctor of Optometry

NPI 1861475394

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Business Mailing Address August 16, 2023

Registered at 2001 COOLIDGE RD, EAST LANSING, MI 488231378 (Tel: 5173370316)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2023

Ophthalmology (License #5101012517 in MI)

📍
Updated Practice Location January 26, 2022

Registered at 5100 MARSH RD STE H, OKEMOS, MI 488641195 (Tel: 5173490150)

📍
Updated Business Mailing Address January 27, 2020

Registered at 1005 CHARLEVOIX DR STE 100, GRAND LEDGE, MI 488378186 (Tel: 5173371668)

📍
Updated Practice Location August 15, 2012

Registered at 702 W LAKE LANSING RD, EAST LANSING, MI 488238526 (Tel: 5173326523)

📍
Updated Business Mailing Address August 15, 2012

Registered at 702 W LAKE LANSING RD, EAST LANSING, MI 488238526 (Tel: 5173326523)

👤
Provider Name / Credentials Updated August 15, 2012

Recorded as JENN LIU, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2012

Ophthalmology (License #JL012517 in MI)

🔄
NPI Profile Reactivated April 10, 2006

Record officially reactivated for active practice on April 10, 2006

⚠️
NPI Profile Deactivated March 20, 2006

Record deactivated on March 20, 2006

🟢
Initial NPI Registration & Enumeration July 21, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609875566
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2005
Last Update: August 16, 2023
Deactivation Date: March 20, 2006
Sole Proprietor: No

Mailing Address

2001 Coolidge Rd

East Lansing, MI 488231378

Phone: 5173370316

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.