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DR. KEVIN CONGDON O. D.
NPI 1154447134
Optometrist in Marinette, WI

Active since March 22, 2007PECOS Enrolled
3003 CLEVELAND AVE, SUITE A, MARINETTE, WI 54143(715) 732-2101 Get Directions Write a Review

NPPES record last updated: January 16, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kevin Congdon O. D. NPPES

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

DR. KEVIN CONGDON O. D. (NPI 1154447134) is an individual optometrist in Marinette, Wisconsin, licensed in Wisconsin (2071-035) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154447134
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KEVIN CONGDONCredential: O. D.
Location Address3003 CLEVELAND AVE, SUITE AMarinette, WI 54143
Mailing AddressW1417 Autumn Wood LnMarinette, WI 54143-9417 · (715) 732-9110
Phone(715) 732-2101
Sole ProprietorNo
Enumeration DateMarch 22, 2007
Last NPPES UpdateJanuary 16, 2017
✔ NPI 1154447134 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 · 2071-035
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.
3003 CLEVELAND AVE, Marinette, WI 54143
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Other Identifiers 2

Medicare UPINT61683
Medicaid38527200WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Congdon 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 Reassignment

Medicare enrollment records show Kevin Congdon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Congdon Optometry Inc
Same address
Optician
3003 CLEVELAND AVE, SUITE A
Marinette, WI 54143
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2 clinicians in this Medicare group
NPI 1003932088 (715) 732-2101

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 54143 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 2

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

CONGDON OPTOMETRY INC
Technician/Technologist (Optician)
3003 CLEVELAND AVE, SUITE A
MARINETTE, WI 54143
Marinette County (715) 732-2101
DR. ANDREW CONGDON O.D.
Optometrist
3003 CLEVELAND AVE, A
MARINETTE, WI 54143
Marinette County (920) 883-0632

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 Kevin Congdon's NPI number?

The NPI number for Kevin Congdon is 1154447134. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Kevin Congdon located?

Kevin Congdon practices at 3003 Cleveland Ave Suite A, Marinette, WI 54143. The listed phone number is (715) 732-2101.

What is Kevin Congdon's specialty?

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

Is Kevin Congdon enrolled in Medicare?

Yes. Kevin Congdon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Congdon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Congdon reassigns Medicare benefits to Congdon Optometry Inc (Marinette, WI). The 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 Kevin Congdon'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 Kevin Congdon was last updated on January 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.