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BRAD J LAVALLIE OD
NPI 1003828740
Optometrist in Green Bay, WI

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment
77.33/100
CMS Quality Rating
2253 W MASON ST, GREEN BAY, WI 54303(920) 327-7000(920) 327-7005 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 28, 2026, Apr 9, 2024, Mar 13, 2017 (3 updates tracked since 2017).

About Brad J Lavallie Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRAD J LAVALLIE OD (NPI 1003828740) is an individual optometrist in Green Bay, Wisconsin, licensed in Wisconsin (2706) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (1998).

NPPES Registry Identity

NPI1003828740
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBRAD J LAVALLIECredential: OD
Location Address2253 W MASON STGreen Bay, WI 54303-4706
Mailing Address1035 Kepler DrGreen Bay, WI 54311-8320 · (920) 490-9046 · Fax (920) 405-8005
Phone(920) 327-7000
Fax(920) 327-7005
Sole ProprietorNo
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 1998
Enumeration DateAugust 12, 2006
Last NPPES UpdateApril 28, 20263 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1003828740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WI · 2706
Definition
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.
2253 W MASON ST, Green Bay, WI 54303
Open in Google Maps ↗

Other Identifiers 1

Medicaid38627900WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brad J Lavallie Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850318213
PECOS Enrollment IDI20051026000159
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
409 services398 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
135 services135 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
98 services85 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
63 services49 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
62 services50 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
45 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.22
Promoting Interoperability100
Improvement Activities40
Cost48.23

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE L LOWE APNP
Nurse Practitioner
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7300
HEIDI KATHRYN BERGMAN PT, DPT
Physical Therapist
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 288-4712
JULIE A MAGNIN M.D.
Family Medicine
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7300
CLINTON B OLSON MD
Family Medicine
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7300
NICHOLAS JAMES HEEZEN D.O.
Internal Medicine
2253 W MASON ST, SUITE 200
GREEN BAY, WI 54303
Brown County (920) 327-7300
DR. MARK R KROLL D.O.
Emergency Medicine
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7000
SHANNA M SEBERO APNP
Nurse Practitioner
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7300
DR. WILLIAM JOSEPH REYNDERS M.D.
Ophthalmology
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brad Lavallie's NPI number?

The NPI number for Brad Lavallie is 1003828740. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Brad Lavallie located?

Brad Lavallie practices at 2253 W Mason St, Green Bay, WI 54303. The listed phone number is (920) 327-7000.

What is Brad Lavallie's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Brad Lavallie enrolled in Medicare?

Yes. Brad Lavallie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brad Lavallie accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 2 other insurers list Brad Lavallie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brad Lavallie was last updated on April 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.