Phillip Elston, OD
NPI 1205829629 · Optometrist · Birmingham, MI
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phillip Elston, OD is a Optometrist provider in Birmingham, MI (NPI 1205829629).
Provider details
- NPI number
- 1205829629
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 046009787 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
85 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Complete Exam of Visual System92014 | 38 | $124 |
| New Patient Complete Exam of Visual System92004 | 31 | $146 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 16 | $91 |
Typical Medicare-allowed amounts for these services range $91–$146 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) |
|---|---|
| Latanoprost | 13 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$144 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (3)
- 3241 S Michigan AveChicago, IL 60616-3849Phone: (336) 413-8843Fax: (312) 949-7660
- 608 N Lafayette StSouth Lyon, MI 48178-2001Phone: (248) 437-3351Fax: (248) 437-0738
- 519 N Pontiac TrlWalled Lake, MI 48390-3442Phone: (248) 624-1707Fax: (248) 624-0203
Registry dates
- Enumerated
- 2005-08-31
- Last updated
- 2020-08-25
- Certified
- 2020-08-25
Frequently asked questions
- What is Phillip Elston's NPI number?
- Phillip Elston's National Provider Identifier (NPI) is 1205829629, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phillip Elston's specialty?
- Phillip Elston is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Phillip Elston located?
- Phillip Elston's practice location on file with NPPES is 970 S Old Woodward Ave, Birmingham, MI 48009-6726.
- What is Phillip Elston's phone number?
- The practice phone number listed in the NPPES registry for Phillip Elston is (248) 369-3300.
- Does Phillip Elston accept Medicare?
- Phillip Elston is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Phillip Elston's NPI active?
- Yes — Phillip Elston's NPI (1205829629) is active in the NPPES registry as of the last update on 2020-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.