DR. SANBRITA MONDAL O.D.
NPI 1093022584
Optometrist in Middleton, WI

Active since September 07, 2010PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
2349 DEMING WAY, MIDDLETON, WI 53562(608) 824-3937(608) 833-3326 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 20, 2021, Nov 11, 2015 (2 updates tracked since 2015).

About Dr. Sanbrita Mondal O.d. NPPES

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

DR. SANBRITA MONDAL O.D. (NPI 1093022584) is an individual optometrist in Middleton, Wisconsin, licensed in Wisconsin (3256-35) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of New England College Of Optometry (2010).

NPPES Registry Identity

NPI1093022584
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SANBRITA MONDALCredential: O.D.
Location Address2349 DEMING WAYMiddleton, WI 53562-5530
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Fax(608) 833-3326
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2010
Enumeration DateSeptember 7, 2010
Last NPPES UpdateJanuary 20, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2021
NPI 1093022584 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 · 3256-35
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.

2349 DEMING WAY, Middleton, WI 53562

Accepted 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

Dr. Sanbrita Mondal 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 ID42496358
PECOS Enrollment IDI20150423002219
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.

Areas of Expertise CMS Part B claims 5

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 office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
146 services138 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
81 services81 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.
44 services42 patients
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.
34 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53562 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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

Other Providers at the Same Location NPPES 13

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

Nurse Anesthetist, Certified Registered
2349 DEMING WAY
MIDDLETON, WI 53562
Optometrist
2349 DEMING WAY
MIDDLETON, WI 53562
Durable Medical Equipment & Medical Supplies
2349 DEMING WAY, 2ND FLR
MIDDLETON, WI 53562
Ophthalmology
2349 DEMING WAY
MIDDLETON, WI 53562
Anesthesiology
2349 DEMING WAY
MADISON, WI 53562
Optometrist
2349 DEMING WAY
MIDDLETON, WI 53562
Ophthalmology
2349 DEMING WAY
MIDDLETON, WI 53562
Clinic/Center (Ambulatory Surgical)
2349 DEMING WAY
MIDDLETON, WI 53562

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 Sanbrita Mondal's NPI number?

The NPI number for Sanbrita Mondal is 1093022584. It was assigned to this individual provider in the NPPES registry on September 7, 2010.

Where is Sanbrita Mondal located?

Sanbrita Mondal practices at 2349 Deming Way, Middleton, WI 53562. The listed phone number is (608) 824-3937.

What is Sanbrita Mondal's specialty?

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

Is Sanbrita Mondal enrolled in Medicare?

Yes. Sanbrita Mondal 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 Sanbrita Mondal accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Sanbrita Mondal 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 Sanbrita Mondal affiliated with any hospitals?

According to CMS data, Sanbrita Mondal is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Sanbrita Mondal was last updated on January 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.