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DR. KATIE J MICHALSKI OD
NPI 1174753248
Optometrist in Wausau, WI

Active since July 22, 2009PECOS EnrolledAccepts Medicare Assignment
99.81/100
CMS Quality Rating
800 N 1ST STREET, WAUSAU, WI 54403(715) 261-8500(715) 261-8556 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2020, Sep 19, 2016, Sep 13, 2016 (3 updates tracked since 2016).

About Dr. Katie J Michalski Od NPPES

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

DR. KATIE J MICHALSKI OD (NPI 1174753248) is an individual optometrist in Wausau, Wisconsin, licensed in Wisconsin (3160-35) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2009).

NPPES Registry Identity

NPI1174753248
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KATIE J MICHALSKICredential: OD
Location Address800 N 1ST STREETWausau, WI 54403
Mailing Address800 N 1st StreetWausau, WI 54403 · (715) 261-8500 · Fax (715) 261-8665
Phone(715) 261-8500
Fax(715) 261-8556
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2009
Enumeration DateJuly 22, 2009
Last NPPES UpdateOctober 7, 20203 updates tracked since enumeration
NPPES CertifiedOctober 7, 2020
✔ NPI 1174753248 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 · 3160-35
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.
800 N 1ST STREET, Wausau, WI 54403
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Other Names 1

Former Name (1)Dr. Katie J Knoedler Michalski Od

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and more.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. Katie J Michalski 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.

PECOS PAC ID9830245489
PECOS Enrollment IDI20090923000227
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 11

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
566 services371 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.
494 services493 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.
447 services329 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.
78 services77 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
72 services72 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
45 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54403 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.

99.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost99.39

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 Katie Michalski's NPI number?

The NPI number for Katie Michalski is 1174753248. It was assigned to this individual provider in the NPPES registry on July 22, 2009. The provider is also known as Dr. Katie J Knoedler Michalski Od.

Where is Katie Michalski located?

Katie Michalski practices at 800 N 1st Street, Wausau, WI 54403. The listed phone number is (715) 261-8500.

What is Katie Michalski's specialty?

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

Is Katie Michalski enrolled in Medicare?

Yes. Katie Michalski 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 Katie Michalski accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Katie Michalski 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 Katie Michalski was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.