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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KERRY LEE GRIEBENOW O.D.
NPI 1063487072
Optometrist - Corneal and Contact Management in New London, WI

Active since February 22, 2006
105 NORTHRIDGE DR, NEW LONDON, WI 54961(920) 982-3711(920) 982-3009 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kerry Lee Griebenow O.d. NPPES

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

DR. KERRY LEE GRIEBENOW O.D. (NPI 1063487072) is an individual corneal and contact management provider in New London, Wisconsin, licensed in Wisconsin (1666) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1063487072
Entity TypeIndividualMale
Primary Taxonomy152WC0802X
Provider Legal NameDR. KERRY LEE GRIEBENOWCredential: O.D.
Location Address105 NORTHRIDGE DRNew London, WI 54961-2703
Mailing Address105 Northridge Dr, P.o. Box 230New London, WI 54961-2703 · (920) 982-3711 · Fax (920) 982-3009
Phone(920) 982-3711
Fax(920) 982-3009
Sole ProprietorNo
Enumeration DateFebruary 22, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1063487072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in WI · 1666
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
105 NORTHRIDGE DR, New London, WI 54961
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Other Identifiers 1

Medicaid38510500WI

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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
35%71 patients2/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
92%181 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
58%648 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
36%44 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
94%648 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%648 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
23%648 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

DR. MICHAEL JAMES LAWTON DDS
Dentist
105 NORTHRIDGE DR
NEW LONDON, WI 54961
Waupaca County (920) 982-3567
CRAIG E SYLTE O.D.
Optometrist
105 NORTHRIDGE DR
NEW LONDON, WI 54961
Waupaca County (920) 982-3711
MOLLY BENCK OD
Optometrist
105 NORTHRIDGE DR
NEW LONDON, WI 54961
Waupaca County (920) 982-3711

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 Kerry Griebenow's NPI number?

The NPI number for Kerry Griebenow is 1063487072. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Kerry Griebenow located?

Kerry Griebenow practices at 105 Northridge Dr, New London, WI 54961. The listed phone number is (920) 982-3711.

What is Kerry Griebenow's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

When was this NPI record last updated?

The NPPES record for Kerry Griebenow 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 30 days 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.