JESSAMYN KOVACS O.D.
NPI 1093198996
Optometrist in Beaver Dam, WI

Active since July 09, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
822 PARK AVE, BEAVER DAM, WI 53916(920) 887-3791 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 26, 2017 (3 updates tracked since 2017).

About Jessamyn Kovacs O.d. NPPES

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

JESSAMYN KOVACS O.D. (NPI 1093198996) is an individual optometrist in Beaver Dam, Wisconsin, licensed in Wisconsin (3381-35) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sun Prairie, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1093198996
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJESSAMYN KOVACSCredential: O.D.
Location Address822 PARK AVEBeaver Dam, WI 53916-2206
Mailing Address6 Seven Pines CtMadison, WI 53718-3153 · (608) 444-1840
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 9, 2015
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1093198996 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 · 3381-35
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.
822 PARK AVE, Beaver Dam, WI 53916

Secondary Practice Location 1

Location 11455 W Main StSun Prairie, WI 53590-1837 · Phone (608) 825-2020

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

Jessamyn Kovacs 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 ID2264747302
PECOS Enrollment IDI20150818005073
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 15

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,340 services11 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
487 services485 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.
414 services411 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
264 services197 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
216 services125 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.
131 services104 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53916 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
89%141 patients5/55-star benchmark: 87%
Diabetes: Eye Exam
100%254 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
98%95 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%3,136 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
82%113 patients
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%56 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 705 patients
Patients screened: 100% · 705 patients
100%78 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
99%92 patients
Tobacco Use and Help with Quitting Among Adolescents
99%168 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,327 patients
Patients totalRate: 0% · 1,327 patients
0%1,327 patients5/55-star benchmark: 100%
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 8

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

Pharmacist
822 PARK AVE
BEAVER DAM, WI 53916
Pharmacist
822 PARK AVE
BEAVER DAM, WI 53916
Optometrist
822 PARK AVE
BEAVER DAM, WI 53916
Eyewear Supplier
822 PARK AVE
BEAVER DAM, WI 53916
Pharmacist
822 PARK AVE
BEAVER DAM, WI 53916
Pharmacy (Community/Retail Pharmacy)
822 PARK AVE
BEAVER DAM, WI 53916
Pharmacist
822 PARK AVE
BEAVER DAM, WI 53916
Optometrist
822 PARK AVE
BEAVER DAM, WI 53916

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 Jessamyn Kovacs's NPI number?

The NPI number for Jessamyn Kovacs is 1093198996. It was assigned to this individual provider in the NPPES registry on July 9, 2015.

Where is Jessamyn Kovacs located?

Jessamyn Kovacs practices at 822 Park Ave, Beaver Dam, WI 53916. The listed phone number is (920) 887-3791.

What is Jessamyn Kovacs's specialty?

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

Is Jessamyn Kovacs enrolled in Medicare?

Yes. Jessamyn Kovacs 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 Jessamyn Kovacs accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and HealthPartners and 1 other insurer list Jessamyn Kovacs 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 Jessamyn Kovacs was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.