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MALCOLM MADISON KATES MD
NPI 1073193058
Ophthalmology in Milwaukee, WI

Active since April 13, 2021PECOS EnrolledAccepts Medicare Assignment
925 N 87TH ST, MILWAUKEE, WI 53226(414) 955-2020(414) 955-6300 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 2, 2025, Apr 13, 2021 (2 updates tracked since 2021).

About Malcolm Madison Kates Md NPPES

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

MALCOLM MADISON KATES MD (NPI 1073193058) is an individual ophthalmology provider in Milwaukee, Wisconsin, licensed in Wisconsin (85142) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and is a graduate of University Of Florida College Of Medicine (2021).

NPPES Registry Identity

NPI1073193058
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMALCOLM MADISON KATESCredential: MD
Location Address925 N 87TH STMilwaukee, WI 53226-4812
Mailing Address925 N 87th StMilwaukee, WI 53226-4812 · (414) 955-2020 · Fax (414) 955-6300
Phone(414) 955-2020
Fax(414) 955-6300
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2021
Enumeration DateApril 13, 2021
Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1073193058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in WI · 85142
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.
925 N 87TH ST, Milwaukee, WI 53226
Open in Google Maps ↗

Other Identifiers 1

Medicaid1073193058WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Malcolm Madison Kates Md 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 ID4789064072
PECOS Enrollment IDI20250522000957
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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 20

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

KAYLEIGH ROHR OD
Optometrist
925 N 87TH ST
MILWAUKEE, WI 53226
Milwaukee County (414) 955-2020
JACQUELYN LAPLANT
Ophthalmology
925 N 87TH ST
MILWAUKEE, WI 53226
Milwaukee County (414) 955-2020
DR. MARI OGINO MD
Student in an Organized Health Care Education/Training Program
925 N 87TH ST
MILWAUKEE, WI 53226
Milwaukee County (414) 955-2020
CARLEIGH NICOLE BRUCE MD
Ophthalmology
925 N 87TH ST
MILWAUKEE, WI 53226
Milwaukee County (414) 955-7840
DR. BASEER UL-ANWAR AHMAD MD
Ophthalmology
925 N 87TH ST
MILWAUKEE, WI 53226
Milwaukee County (414) 456-2020
DR. ALEXANDRA JANE BEACHNAU OD
Optometrist
925 N 87TH ST
MILWAUKEE, WI 53226
Milwaukee County (414) 607-5280
DR. SANG H HONG MD
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
925 N 87TH ST, THE EYE INSTITUTE
MILWAUKEE, WI 53226
Milwaukee County (414) 456-2020
DR. JUDY P. HOGGATT M.D.
Ophthalmology
925 N 87TH ST, THE EYE INSTITUTE
MILWAUKEE, WI 53226
Milwaukee County (414) 456-2020

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 Malcolm Kates's NPI number?

The NPI number for Malcolm Kates is 1073193058. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Malcolm Kates located?

Malcolm Kates practices at 925 N 87th St, Milwaukee, WI 53226. The listed phone number is (414) 955-2020.

What is Malcolm Kates's specialty?

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

Is Malcolm Kates enrolled in Medicare?

Yes. Malcolm Kates 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.

What insurance does Malcolm Kates accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 1 other insurer list Malcolm Kates 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.

Is Malcolm Kates affiliated with any hospitals?

According to CMS data, Malcolm Kates is affiliated with Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Malcolm Kates was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.