DR. TRISTAN ROBERT BEGOTKA O.D.
NPI 1114369063
Optometrist in Grafton, WI

Q: What is Tristan Begotka's NPI number?

The NPI number for Tristan Begotka is 1114369063. It was assigned to this individual provider in the NPPES registry on July 19, 2013.

Q: What is Tristan Begotka's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tristan Begotka was last updated on July 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 19, 2013PECOS Enrolled

1210 12TH AVE, GRAFTON, WI 53024(262) 377-6800(262) 377-7287 Get Directions Write a Review

NPPES record last updated: July 19, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Tristan Robert Begotka O.d. NPPES

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

DR. TRISTAN ROBERT BEGOTKA O.D. (NPI 1114369063) is an individual optometrist in Grafton, Wisconsin, licensed in Wisconsin (3309-35) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114369063

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. TRISTAN ROBERT BEGOTKACredential: O.D.

Location Address1210 12TH AVEGrafton, WI 53024-1924

Mailing Address1210 12th AveGrafton, WI 53024-1924 · (262) 377-6800 · Fax (262) 377-7287

Phone(262) 377-6800

Fax(262) 377-7287

Sole ProprietorNo

Enumeration DateJuly 19, 2013

✔ NPI 1114369063 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 · 3309-35

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.

1210 12TH AVE, Grafton, WI 53024

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tristan Robert Begotka O.d. 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

Medicare enrollment records show Tristan Begotka reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Visionworks, Inc.

16 mi

Optometrist

4000 N OAKLAND AVE
Shorewood, WI 53211

Reassigned Medicare billing, Wisconsin enrollment
80 clinicians in this Medicare group

NPI 1154699445 (414) 961-7700

Luxottica Of America Inc

334 mi

Optometrist

4000 LUXOTTICA PL, ATTN MEDICARE DEPT
Mason, OH 45040

Reassigned Medicare billing, Wisconsin enrollment
21 clinicians in this Medicare group

NPI 1689711046 (513) 765-3534

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53024 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

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

SHOPTIKAL LLC

Eyewear Supplier

1210 12TH AVE
GRAFTON, WI 53024

Ozaukee County (262) 377-6800

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 Tristan Begotka's NPI number?

The NPI number for Tristan Begotka is 1114369063. It was assigned to this individual provider in the NPPES registry on July 19, 2013.

Where is Tristan Begotka located?

Tristan Begotka practices at 1210 12th Ave, Grafton, WI 53024. The listed phone number is (262) 377-6800.

What is Tristan Begotka's specialty?

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

Is Tristan Begotka enrolled in Medicare?

Yes. Tristan Begotka is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tristan Begotka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tristan Begotka reassigns Medicare benefits to 2 organizations: Visionworks, Inc. (Shorewood, WI) and Luxottica Of America Inc (Mason, OH). 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 Tristan Begotka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tristan Begotka accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Tristan Begotka 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 Tristan Begotka was last updated on July 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.