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DR. STEPHANIE ENGEBRETSON OD
NPI 1205451762
Optometrist in Cedarburg, WI

Active since June 10, 2020PECOS EnrolledAccepts Medicare Assignment
95.94/100
CMS Quality Rating
N54W6135 MILL ST, CEDARBURG, WI 53012(262) 421-4412 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 28, 2021, Jun 10, 2020 (2 updates tracked since 2020).

About Dr. Stephanie Engebretson Od NPPES

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

DR. STEPHANIE ENGEBRETSON OD (NPI 1205451762) is an individual optometrist in Cedarburg, Wisconsin, licensed in Wisconsin (3618-35) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2020).

NPPES Registry Identity

NPI1205451762
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. STEPHANIE ENGEBRETSONCredential: OD
Location AddressN54W6135 MILL STCedarburg, WI 53012-2021
Mailing Address458 W Foster StPort Washington, WI 53074-2110 · (715) 630-5032
Phone(262) 421-4412
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2020
Enumeration DateJune 10, 2020
Last NPPES UpdateDecember 28, 20212 updates tracked since enumeration
NPPES CertifiedDecember 28, 2021
✔ NPI 1205451762 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 · 3618-35
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.
N54W6135 MILL ST, Cedarburg, WI 53012
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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, Aspirus Health Plan, Blue Cross and Blue Shield of Louisiana 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. Stephanie Engebretson 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 ID1557787595
PECOS Enrollment IDI20200820001958
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 3

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.

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.
47 services47 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.
36 services26 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53012 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.

95.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.89
Improvement Activities40

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.

DR. M THOMAS CHEMOTTI M.D.
Ophthalmology
N54W6135 MILL ST
CEDARBURG, WI 53012
Ozaukee County (262) 377-8118
SALVADOR V. DEL ROSARIO,M.D., S.C.
Internal Medicine
N54W6135 MILL ST, SUITE 600
CEDARBURG, WI 53012
Ozaukee County (262) 375-1130
DANIEL C GARCIA DDS LLC
Dentist
N54W6135 MILL ST, SUITE 900
CEDARBURG, WI 53012
Ozaukee County (262) 375-8888
NORTH SHORE EYE HEALTH AND WELLNESS, SC
Optometrist
N54W6135 MILL ST, SUITE 700
CEDARBURG, WI 53012
Ozaukee County (262) 421-4412
JOHN RICHARD JANKOWSKI R.PH.
Pharmacist
N54W6135 MILL ST, SUITE 300
CEDARBURG, WI 53012
Ozaukee County (262) 375-0010
SUSAN ELAINE MIAZGA RPH
Pharmacist
N54W6135 MILL ST, STE 300
CEDARBURG, WI 53012
Ozaukee County (262) 375-0010
CEDARBURG PRESCRIPTION CENTER INC
Pharmacy (Community/Retail Pharmacy)
N54W6135 MILL ST, STE 300
CEDARBURG, WI 53012
Ozaukee County (262) 375-0010
DR. KYLE D ROSS O.D.
Optometrist
N54W6135 MILL ST, SUITE 700
CEDARBURG, WI 53012
Ozaukee County (262) 421-4412

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 Stephanie Engebretson's NPI number?

The NPI number for Stephanie Engebretson is 1205451762. It was assigned to this individual provider in the NPPES registry on June 10, 2020.

Where is Stephanie Engebretson located?

Stephanie Engebretson practices at N54w6135 Mill St, Cedarburg, WI 53012. The listed phone number is (262) 421-4412.

What is Stephanie Engebretson's specialty?

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

Is Stephanie Engebretson enrolled in Medicare?

Yes. Stephanie Engebretson 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 Stephanie Engebretson 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 5 other insurers list Stephanie Engebretson 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 Stephanie Engebretson was last updated on December 28, 2021. 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.