JAMES E. PEPPERL MD
NPI 1063507341
Ophthalmology in Eau Claire, WI

Active since October 04, 2006PECOS Enrolled
78.85/100
CMS Quality Rating
2116 CRAIG RD, EAU CLAIRE, WI 54701(715) 858-4500 Get Directions Write a Review

NPPES record last updated: December 23, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About James E. Pepperl Md NPPES

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

JAMES E. PEPPERL MD (NPI 1063507341) is an individual ophthalmology provider in Eau Claire, Wisconsin, licensed in Wisconsin (41178) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063507341
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJAMES E. PEPPERLCredential: MD
Location Address2116 CRAIG RDEau Claire, WI 54701-6149
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateDecember 23, 2009
✔ NPI 1063507341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in WI · 41178
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
2116 CRAIG RD, Eau Claire, WI 54701

Other Identifiers 3

Medicare ID-Type Unspecified006820270WI
Medicaid32563500WI
Medicare UPING33516

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James E. Pepperl Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 James Pepperl reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
2310 CRAIG RD
Eau Claire, WI 54701
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 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 7

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.

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.
146 services144 patients
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.
138 services125 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.
129 services128 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).
108 services107 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
59 services56 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
55 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54701 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.

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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.68
Promoting Interoperability99
Improvement Activities40
Cost54.87

Other Providers at the Same Location NPPES 20

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

Physical Therapist
2116 CRAIG RD
EAU CLAIRE, WI 54701
Nurse Practitioner (Family)
2116 CRAIG RD
EAU CLAIRE, WI 54701
Nurse Anesthetist, Certified Registered
2116 CRAIG RD
EAU CLAIRE, WI 54701
Internal Medicine (Gastroenterology)
2116 CRAIG RD
EAU CLAIRE, WI 54701
Physician Assistant
2116 CRAIG RD
EAU CLAIRE, WI 54701
Psychiatry & Neurology (Sleep Medicine)
2116 CRAIG RD
EAU CLAIRE, WI 54701
Advanced Practice Midwife
2116 CRAIG RD
EAU CLAIRE, WI 54701
Internal Medicine (Interventional Cardiology)
2116 CRAIG RD
EAU CLAIRE, WI 54701

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 James Pepperl's NPI number?

The NPI number for James Pepperl is 1063507341. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is James Pepperl located?

James Pepperl practices at 2116 Craig Rd, Eau Claire, WI 54701. The listed phone number is (715) 858-4500.

What is James Pepperl's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is James Pepperl enrolled in Medicare?

Yes. James Pepperl is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Pepperl's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Pepperl reassigns Medicare benefits to 2 organizations: Mchs Hospitals Inc (Eau Claire, WI) and Marshfield Clinic Inc (Marshfield, 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 James Pepperl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Pepperl was last updated on December 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.