DR. STEVEN TICKNOR OD
NPI 1174260715
Optometrist in Kenosha, WI
About Dr. Steven Ticknor Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STEVEN TICKNOR OD (NPI 1174260715) is an individual optometrist in Kenosha, Wisconsin, licensed in Wisconsin (3810-35) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Steven Ticknor Od 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.
Medicare Billing Reassignments
2Medicare enrollment records show Steven Ticknor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kenosha, WI 53144
- Reassigned Medicare billing, Wisconsin and Illinois enrollments
- Also billed through NPI 1285225102 (Illinois)
- 187 clinicians in this Medicare group
Grayslake, IL 60030
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Dr Charlotte F Nielsen PC
- 2 clinicians in this Medicare group
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 53144 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Steven Ticknor's NPI number?
The NPI number for Steven Ticknor is 1174260715. It was assigned to this individual provider in the NPPES registry on May 16, 2022.
Where is Steven Ticknor located?
Steven Ticknor practices at 3621 Market Ln, Kenosha, WI 53144. The listed phone number is (262) 658-8119.
What is Steven Ticknor's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Steven Ticknor enrolled in Medicare?
Yes. Steven Ticknor 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.
Which organizations bill Medicare for Steven Ticknor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Steven Ticknor reassigns Medicare benefits to 2 organizations: Shoptikal LLC (Kenosha, WI) and Dr. Charlotte F. Nielsen, P.C. (Grayslake, IL). 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 Steven Ticknor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Steven Ticknor 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 Blue Cross and Blue Shield of Montana and 12 other insurers list Steven Ticknor 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 Steven Ticknor was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Steven Ticknor, OD · NPI 1174260715
Optometrist provider in Kenosha, Wisconsin. Individual provider, active in the CMS NPPES registry since May 16, 2022.
## Identity
- **NPI:** 1174260715 (Entity type: Individual)
- **Enumerated:** May 16, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 3810-35 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3621 MARKET LN, Kenosha, WI 53144-1553
- **Phone:** (262) 658-8119 · **Fax:** (262) 658-8261
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Shoptikal LLC (NPI 1881250256, Kenosha, WI); Dr. Charlotte F. Nielsen, P.C. (NPI 1033303169, Grayslake, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Illinois College Of Optometry At Chicago, class of 2022
## Record status
- **NPPES last updated:** September 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1174260715) · Data from the CMS NPPES public registry.