RICHARD DANE MARTIN OD
NPI 1215516646
Optometrist in Madison, WI

Active since April 04, 2021PECOS EnrolledAccepts Medicare Assignment
97.96/100
CMS Quality Rating
1 S PARK ST, MADISON, WI 53715(608) 916-2020 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 4, 2026, Nov 14, 2023, Jun 29, 2021 and 2 more (5 updates tracked since 2021).

About Richard Dane Martin Od NPPES

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

RICHARD DANE MARTIN OD (NPI 1215516646) is an individual optometrist in Madison, Wisconsin, licensed in Wisconsin (3680-35) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1215516646
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameRICHARD DANE MARTINCredential: OD
Location Address1 S PARK STMadison, WI 53715-1375
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2021
Enumeration DateApril 4, 2021
Last NPPES UpdateMay 4, 20265 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
NPI 1215516646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in WI · 3680-35
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.

1 S PARK ST, Madison, WI 53715

Secondary Practice Location 1

Location 11025 Regent StMadison, WI 53715-1248 · Phone (608) 282-2000 · Fax (608) 282-2172

Other Identifiers 1

Medicaid1215516646WI

Accepted 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

Richard Dane Martin 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 ID6608277181
PECOS Enrollment IDI20210622003474
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 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
2,521 services24 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.
295 services295 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.
133 services108 patients
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.
123 services120 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.
90 services90 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
73 services72 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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.

97.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.6
Improvement Activities40

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.

Durable Medical Equipment & Medical Supplies
1 S PARK ST
MADISON, WI 53715
Anesthesiology
1 S PARK ST
MADISON, WI 53715
Anesthesiology
1 S PARK ST
MADISON, WI 53715
Radiology (Diagnostic Radiology)
1 S PARK ST
MADISON, WI 53715
Pediatrics (Pediatric Allergy/Immunology)
1 S PARK ST
MADISON, WI 53715
Physician Assistant (Medical)
1 S PARK ST
MADISON, WI 53715
Surgery
1 S PARK ST
MADISON, WI 53715
Nurse Practitioner
1 S PARK ST
MADISON, WI 53715

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215516646, enumerated as an "individual" on April 04, 2021.

The provider is located at 1 S PARK ST MADISON, WI 53715 and the phone number is (608) 916-2020.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.

Richard Martin is affiliated with: SSM HEALTH ST MARY'S HOSPITAL - MADISON.