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DR. CHERYL L. ZIEGLER O.D.
NPI 1013999440
Optometrist in Plymouth, WI

Active since November 21, 2005PECOS EnrolledAccepts Medicare Assignment
300 E MILL ST, PLYMOUTH, WI 53073(920) 893-8474(920) 893-8814 Get Directions Write a Review

NPPES record last updated: July 9, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Cheryl L. Ziegler O.d. NPPES

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

DR. CHERYL L. ZIEGLER O.D. (NPI 1013999440) is an individual optometrist in Plymouth, Wisconsin, licensed in Wisconsin (2443) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1991).

NPPES Registry Identity

NPI1013999440
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. CHERYL L. ZIEGLERCredential: O.D.
Location Address300 E MILL STPlymouth, WI 53073-1804
Mailing Address300 E Mill StPlymouth, WI 53073-1804 · (920) 893-8474 · Fax (920) 893-8814
Phone(920) 893-8474
Fax(920) 893-8814
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1991
Enumeration DateNovember 21, 2005
Last NPPES UpdateJuly 9, 2013
✔ NPI 1013999440 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 · 2443
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.
300 E MILL ST, Plymouth, WI 53073
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Other Identifiers 5

Medicare ID-Type Unspecified000147135WI
Medicare UPINU34813WI
Medicaid38585800WI
Medicare NSC1144200001WI
Medicare PIN410030362WI

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, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Cheryl L. Ziegler O.d. 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 ID9739295163
PECOS Enrollment IDI20101110000892
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.

Medicare Billing Reassignment

Medicare enrollment records show Cheryl Ziegler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advanced Eyecare, Sc
Same address
Optometrist
300 E MILL ST
Plymouth, WI 53073
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3 clinicians in this Medicare group
NPI 1477659456 (920) 893-8474

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
335 services241 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).
68 services60 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
64 services61 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.
30 services28 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.
21 services16 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.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53073 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.

Other Providers at the Same Location NPPES 2

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

ADVANCED EYECARE, SC
Optometrist
300 E MILL ST
PLYMOUTH, WI 53073
Sheboygan County (920) 893-8474
DR. TIMOTHY J ZIEGLER O.D.
Optometrist
300 E MILL ST
PLYMOUTH, WI 53073
Sheboygan County (920) 893-8474

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 Cheryl Ziegler's NPI number?

The NPI number for Cheryl Ziegler is 1013999440. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Cheryl Ziegler located?

Cheryl Ziegler practices at 300 E Mill St, Plymouth, WI 53073. The listed phone number is (920) 893-8474.

What is Cheryl Ziegler's specialty?

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

Is Cheryl Ziegler enrolled in Medicare?

Yes. Cheryl Ziegler 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.

Which organization bills Medicare for Cheryl Ziegler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cheryl Ziegler reassigns Medicare benefits to Advanced Eyecare, Sc (Plymouth, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cheryl Ziegler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cheryl Ziegler accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 4 other insurers list Cheryl Ziegler 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 Cheryl Ziegler was last updated on July 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.