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DR. NATHAN PAUL FORST O.D.
NPI 1043262322
Optometrist in Oshkosh, WI

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
1300 S. KOELLER ROAD, OSHKOSH, WI 54902(920) 426-5730(920) 426-1708 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2026, Dec 2, 2019 (2 updates tracked since 2019).

About Dr. Nathan Paul Forst O.d. NPPES

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

DR. NATHAN PAUL FORST O.D. (NPI 1043262322) is an individual optometrist in Oshkosh, Wisconsin, licensed in Wisconsin (3029-035) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (2005).

NPPES Registry Identity

NPI1043262322
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. NATHAN PAUL FORSTCredential: O.D.
Location Address1300 S. KOELLER ROADOshkosh, WI 54902-6196
Mailing Address1212 S Koeller StOshkosh, WI 54902-6170 · (920) 426-5730 · Fax (920) 426-1708
Phone(920) 426-5730
Fax(920) 426-1708
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 2005
Enumeration DateMay 16, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1043262322 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 · 3029-035
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.
1300 S. KOELLER ROAD, Oshkosh, WI 54902
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Other Identifiers 1

Medicaid38626900WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross and Blue Shield of Louisiana 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. Nathan Paul Forst 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 ID1052340171
PECOS Enrollment IDI20050809000927
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 Nathan Forst reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shoptikal LLC
0.1 mi
Eyewear Supplier
1212 S KOELLER ST
Oshkosh, WI 54902
  • Reassigned Medicare billing, Wisconsin enrollment
  • 187 clinicians in this Medicare group
NPI 1942866314 (920) 426-5730

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

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.
43 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54902 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.

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 Nathan Forst's NPI number?

The NPI number for Nathan Forst is 1043262322. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Nathan Forst located?

Nathan Forst practices at 1300 S. Koeller Road, Oshkosh, WI 54902. The listed phone number is (920) 426-5730.

What is Nathan Forst's specialty?

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

Is Nathan Forst enrolled in Medicare?

Yes. Nathan Forst 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 Nathan Forst's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Forst reassigns Medicare benefits to Shoptikal LLC (Oshkosh, 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 Nathan Forst's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathan Forst 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 6 other insurers list Nathan Forst 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 Nathan Forst was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.