Alan Margherio, MD
NPI 1598793614 · Retina Specialist (Ophthalmology) Physician · Grand Rapids, MI
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Alan Margherio, MD is a Retina Specialist (Ophthalmology) Physician provider in Grand Rapids, MI (NPI 1598793614).
Provider details
- NPI number
- 1598793614
- Entity type
- Individual
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301056112 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,390 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Imaging of Retina92134 | 587 | $39 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 555 | $128 |
| Injection of Drug Into Eye67028 | 161 | $122 |
| Established Patient Complete Exam of Visual System92014 | 53 | $124 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 34 | $161 |
Typical Medicare-allowed amounts for these services range $39–$161 (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 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisolone Acetate | 60 | 40 |
| Ketorolac Tromethamine | 45 | 13 |
| Atropine Sulfate | 29 | 20 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 25 | — |
| Gentamicin Sulfate | 22 | 21 |
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-29
- Last updated
- 2020-08-04
- Certified
- 2020-08-04
Frequently asked questions
- What is Alan Margherio's NPI number?
- Alan Margherio's National Provider Identifier (NPI) is 1598793614, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Alan Margherio's specialty?
- Alan Margherio is listed in the NPPES registry with a primary specialty of Retina Specialist (Ophthalmology) Physician (Allopathic & Osteopathic Physicians).
- Where is Alan Margherio located?
- Alan Margherio's practice location on file with NPPES is 1179 East Paris Se, Grand Rapids, MI 49546.
- What is Alan Margherio's phone number?
- The practice phone number listed in the NPPES registry for Alan Margherio is (616) 942-2406.
- Does Alan Margherio accept Medicare?
- Alan Margherio is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Alan Margherio's NPI active?
- Yes — Alan Margherio's NPI (1598793614) is active in the NPPES registry as of the last update on 2020-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.