PAUL K THOMPSON O.D.
NPI 1023105772
Optometrist in Appleton, WI

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment
1301 E NORTHLAND AVE, SUITE A, APPLETON, WI 54911(920) 734-8714(920) 734-8785 Get Directions Write a Review

NPPES record last updated: November 18, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Paul K Thompson O.d. NPPES

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

PAUL K THOMPSON O.D. (NPI 1023105772) is an individual optometrist in Appleton, Wisconsin, licensed in Wisconsin (2483) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1990).

NPPES Registry Identity

NPI1023105772
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NamePAUL K THOMPSONCredential: O.D.
Location Address1301 E NORTHLAND AVE, SUITE AAppleton, WI 54911-8582
Mailing Address1301 E Northland Ave, Suite AAppleton, WI 54911-8582 · (920) 734-8714 · Fax (920) 734-8785
Fax(920) 734-8785
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1990
Enumeration DateOctober 6, 2006
Last NPPES UpdateNovember 18, 2014
✔ NPI 1023105772 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 · 2483
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.
1301 E NORTHLAND AVE, Appleton, WI 54911

Other Identifiers 5

Medicare PIN000245385WI
Medicare PIN410019940WI
Medicare PIN45225005WI
Medicaid38584000WI
Medicare UPINU28488WI

Accepted 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

Paul K Thompson 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 ID2163574849
PECOS Enrollment IDI20090709000607
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 Reassignments

2

Medicare enrollment records show Paul Thompson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eyewear Supplier
1033 W NORTHLAND AVE STE B
Appleton, WI 54914
  • Reassigned Medicare billing, Wisconsin enrollment
  • 187 clinicians in this Medicare group
Optometrist
21 PARK PL
Appleton, WI 54914
  • Reassigned Medicare billing, Wisconsin enrollment
  • 32 clinicians in this Medicare group

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.
164 services155 patients
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.
31 services31 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.
28 services25 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.
23 services20 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).
19 services18 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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 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 6

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

Podiatrist
1301 E NORTHLAND AVE, STE B
APPLETON, WI 54911
Eyewear Supplier
1301 E NORTHLAND AVE, STE A
APPLETON, WI 54911
Podiatrist (Foot & Ankle Surgery)
1301 E NORTHLAND AVE, STE B
APPLETON, WI 54911
Podiatrist (Primary Podiatric Medicine)
1301 E NORTHLAND AVE, SUITE B
APPLETON, WI 54911
Podiatrist (Primary Podiatric Medicine)
1301 E NORTHLAND AVE, STE B
APPLETON, WI 54911
Ophthalmology
1301 E NORTHLAND AVE, STE A
APPLETON, WI 54911

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 Paul Thompson's NPI number?

The NPI number for Paul Thompson is 1023105772. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Paul Thompson located?

Paul Thompson practices at 1301 E Northland Ave Suite A, Appleton, WI 54911. The listed phone number is (920) 734-8714.

What is Paul Thompson's specialty?

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

Is Paul Thompson enrolled in Medicare?

Yes. Paul Thompson 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 organizations bill Medicare for Paul Thompson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Thompson reassigns Medicare benefits to 2 organizations: Shoptikal LLC (Appleton, WI) and Valley Eye Associates (Appleton, WI). Each 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 Paul Thompson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Thompson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 7 other insurers list Paul Thompson 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 Paul Thompson was last updated on November 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.