Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CINDY CAI MD
NPI 1215348420
Ophthalmology in Wausau, WI

Active since May 12, 2014PECOS Enrolled
800 N 1ST ST, WAUSAU, WI 54403(715) 261-8500 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 14, 2026, Sep 4, 2020 (2 updates tracked since 2020).

About Cindy Cai Md NPPES

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

CINDY CAI MD (NPI 1215348420) is an individual ophthalmology provider in Wausau, Wisconsin, licensed in Wisconsin (87584-20) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Columbia University College Of Physicians And Surgeons (2014).

NPPES Registry Identity

NPI1215348420
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameCINDY CAICredential: MD
Location Address800 N 1ST STWausau, WI 54403-4754
Mailing Address800 N 1st StWausau, WI 54403-4754 · (715) 261-8500
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2014
Enumeration DateMay 12, 2014
Last NPPES UpdateOctober 14, 20262 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1215348420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in WI · 87584-20
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
800 N 1ST ST, Wausau, WI 54403

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cindy Cai Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345552410
PECOS Enrollment IDI20200820001429
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

2

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

Neurological Surgery
8600 OLD GEORGETOWN RD
Bethesda, MD 20814
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
Optometrist
4102 WILSON BLVD
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia enrollment
  • 67 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.

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.
1,314 services498 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
956 services104 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.
672 services330 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
554 services122 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.
140 services93 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.
130 services128 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

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.

Other Providers at the Same Location NPPES 20

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

Ophthalmology
800 N 1ST ST
WAUSAU, WI 54403
Ophthalmology
800 N 1ST ST
WAUSAU, WI 54403
Ophthalmology
800 N 1ST ST
WAUSAU, WI 54403
Nurse Anesthetist, Certified Registered
800 N 1ST ST
WAUSAU, WI 54403
Optometrist
800 N 1ST ST
WAUSAU, WI 54403
Clinic/Center (Ambulatory Surgical)
800 N 1ST ST, SUITE 100
WAUSAU, WI 54403
Ophthalmology (Glaucoma Specialist)
800 N 1ST ST
WAUSAU, WI 54403
Audiologist
800 N 1ST ST
WAUSAU, WI 54403

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 Cindy Cai's NPI number?

The NPI number for Cindy Cai is 1215348420. It was assigned to this individual provider in the NPPES registry on May 12, 2014.

Where is Cindy Cai located?

Cindy Cai practices at 800 N 1st St, Wausau, WI 54403. The listed phone number is (715) 261-8500.

What is Cindy Cai's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Cindy Cai enrolled in Medicare?

Yes. Cindy Cai is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Cindy Cai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cindy Cai reassigns Medicare benefits to 2 organizations: Johns Hopkins University (Bethesda, MD) and Johns Hopkins University (Arlington, VA). 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 Cindy Cai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Cindy Cai affiliated with any hospitals?

According to CMS data, Cindy Cai is affiliated with Johns Hopkins Hospital, The.

When was this NPI record last updated?

The NPPES record for Cindy Cai was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.