Active NPI 1417992900 Individual Practitioner Male Practitioner

Dr. Michael D Van Brocklin , OD

Optometrist • Bellingham, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Van Brocklin, OD is a certified Optometrist practicing in Bellingham, WA. With approximately 47 years of clinical experience since graduating from Pacific University - College Of Optometry in 1979, Dr. Van Brocklin delivers high-quality medical care to the local community at 4330 MITCHELL WAY.

Dr. Van Brocklin is affiliated with Pacific Cataract And Laser Institute Inc Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4330 Mitchell Way

Bellingham, WA 982269175

Telephone 3607386860

Fax 3607386853

Associated Practice Facility / Clinic

🏢 Pacific Cataract And Laser Institute Inc Pc Facility NPI 1194047092

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Bellingham, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs +31.2 yrs vs City Avg

City Avg: 15.8 Yrs

State Avg: 20.4 Yrs

Regional Practice Density

48 Specialists

Practicing in Bellingham, WA (1692 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Van Brocklin (47 Years) 47 Yrs

Bellingham Specialty Average (15.8 Years) 15.8 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$527.00	$166.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	35	$345.00	$127.60
92134 Imaging of retina	21	21	$210.00	$40.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	119	119	$527.00	$164.40
92136 Measurement of corneal curvature and depth of eye	62	62	$129.00	$17.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	45	$345.00	$127.40
92134 Imaging of retina	26	26	$148.96	$39.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	131	131	$527.00	$167.00
92136 Measurement of corneal curvature and depth of eye	115	115	$128.53	$20.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	54	$345.00	$128.29
99213 Established patient office or other outpatient visit, typically 15 minutes	30	22	$235.00	$91.05
92134 Imaging of retina	15	15	$141.00	$38.72
92025 Ct scan of cornea	13	12	$105.00	$34.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	161	161	$527.00	$169.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	72	$345.00	$131.34
92136 Measurement of corneal curvature and depth of eye	65	64	$129.00	$25.32
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$235.00	$87.22
92134 Imaging of retina	16	16	$141.00	$41.81
92133 Imaging of optic nerve	13	13	$128.31	$31.29
92083 Exam of visual field with extended testing	13	11	$165.77	$58.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	243	243	$445.16	$166.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	97	$282.97	$110.09
99213 Established patient office or other outpatient visit, typically 15 minutes	35	28	$180.17	$75.86
92083 Exam of visual field with extended testing	32	17	$98.16	$37.51
92133 Imaging of optic nerve	27	15	$80.00	$22.31
92020 Examination of cornea and iris using lens device and slit lamp	24	23	$79.33	$28.18
92134 Imaging of retina	21	12	$69.76	$22.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	316	316	$301.00	$166.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	96	$197.00	$110.54
99213 Established patient office or other outpatient visit, typically 15 minutes	44	37	$134.00	$75.41
92083 Exam of visual field with extended testing	42	19	$62.50	$32.80
92134 Imaging of retina	36	18	$49.00	$20.83
92020 Examination of cornea and iris using lens device and slit lamp	28	26	$70.00	$28.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	314	314	$301.00	$163.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	81	$197.00	$107.46
99213 Established patient office or other outpatient visit, typically 15 minutes	66	46	$134.00	$73.26
92083 Exam of visual field with extended testing	34	13	$62.50	$32.49
92134 Imaging of retina	28	12	$49.00	$20.79
92133 Imaging of optic nerve	24	11	$49.00	$18.16
92020 Examination of cornea and iris using lens device and slit lamp	23	23	$70.00	$27.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	270	270	$268.60	$154.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	85	$175.48	$101.99
99213 Established patient office or other outpatient visit, typically 15 minutes	49	35	$115.65	$69.59
92083 Exam of visual field with extended testing	44	20	$62.50	$30.95
92020 Examination of cornea and iris using lens device and slit lamp	34	33	$65.53	$25.97
92134 Imaging of retina	22	11	$49.00	$19.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$175.23	$102.18

Medical Specialties & State Licenses

CMS Verified: 2020-11-19

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WA OD00001307

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1023190 (AK)

Medicaid State Provider ID

2027076 (WA)

Medicaid State Provider ID

1010014 (WA)

Commercial Insurance / Payer ID Rail Road Medicare

00939832 (AK)

Commercial Insurance / Payer ID Rail Road Medicare

410017358 (WA)

Hospital & Practice Group Affiliations

Pacific Cataract And Laser Institute Inc Pc

4330 Mitchell Way, Bellingham, WA 982269175

Phone: 3607386860

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Brett Igbinoba , OD

Optometrist

NPI 1548610066

Doctor of Optometry

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location November 19, 2020

Registered at 4330 MITCHELL WAY, BELLINGHAM, WA 982269175 (Tel: 3607386860)

📍

Updated Business Mailing Address November 19, 2020

Registered at PO BOX 1506, CHEHALIS, WA 985320409 (Tel: 3602423008)

👤

Provider Name / Credentials Updated November 19, 2020

Recorded as MICHAEL VAN BROCKLIN, OD

✅

NPI Profile Active June 06, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 06, 2011

Registered at 2915 S ALDER ST, TACOMA, WA 984094803 (Tel: 2534730275)

📍

Updated Business Mailing Address June 06, 2011

Registered at PO BOX 1506, PACIFIC CATARACT & LASER INSTITUTE, CHEHALIS, WA 985320409 (Tel: 3602423008)

👤

Provider Name / Credentials Updated June 06, 2011

Recorded as MICHAEL VANBROCKLIN, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2011

Optometrist (License #OD00001307 in WA)

🟢

Initial NPI Registration & Enumeration June 18, 2006

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: 1417992900

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 18, 2006

Last Update: November 19, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1506

Chehalis, WA 985320409

Phone: 3602423008

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.