ADVANCED RETINA S.C.
NPI 1063173128
Ophthalmology - Retina Specialist in Greenfield, WI

Active since December 31, 2021
4131 W LOOMIS RD STE 240, GREENFIELD, WI 53221(262) 510-0300(262) 510-0500 Get Directions Write a Review

NPPES record last updated: January 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 5, 2025, Dec 31, 2021 (2 updates tracked since 2021).

About Advanced Retina S.c. NPPES

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

ADVANCED RETINA S.C. (NPI 1063173128) is a healthcare organization registered as a retina specialist in Greenfield, Wisconsin and active in the NPI registry since December 2021. The organization lists Ryan Vogel, President, as its authorized official.

NPPES Registry Identity

NPI1063173128
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameADVANCED RETINA S.C.
Location Address4131 W LOOMIS RD STE 240Greenfield, WI 53221-2072
Mailing Address4131 W Loomis Rd Ste 240Greenfield, WI 53221-2072 · (262) 510-0300 · Fax (262) 510-0500
Fax(262) 510-0500
Organization SubpartNo
Authorized OfficialRyan VogelPresident · (414) 573-5946
Enumeration DateDecember 31, 2021
Last NPPES UpdateJanuary 5, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2025
✔ NPI 1063173128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
4131 W LOOMIS RD STE 240, Greenfield, WI 53221

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Retina S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWisconsinEnrollment IDO20220223000783Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Advanced Retina S.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Ophthalmology
NPI 1235792946
4131 W LOOMIS RD STE 240
Greenfield, WI 53221
(262) 510-0300
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1639533888
4131 W LOOMIS RD STE 240
Greenfield, WI 53221
(262) 510-0300
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1124361142
4131 W LOOMIS RD STE 240
Greenfield, WI 53221
(262) 510-0300
✔ PECOS✔ Accepts MedicareSame address

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

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 Advanced Retina S.C.'s NPI number?

The NPI number for Advanced Retina S.C. is 1063173128. It was assigned to this organization in the NPPES registry on December 31, 2021.

Where is Advanced Retina S.C. located?

Advanced Retina S.C. is located at 4131 W Loomis Rd Ste 240, Greenfield, WI 53221. The listed phone number is (262) 510-0300.

What is Advanced Retina S.C.'s specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Advanced Retina S.C. enrolled in Medicare?

Yes. Advanced Retina S.C. is registered in the Medicare PECOS enrollment system.

When is Advanced Retina S.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Wisconsin, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Advanced Retina S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Ophthalmology, reassign their Medicare billing to Advanced Retina S.C.. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Retina S.C. accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Quartz list Advanced Retina S.C. 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 Advanced Retina S.C. was last updated on January 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.