DR. CYNTHIA KAE DECKER-RIDDLE O.D.
NPI 1225044415
Optometrist in Waukesha, WI

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
87.26/100
CMS Quality Rating
203 A EAST SUNSET, WISCONSIN VISION, WAUKESHA, WI 53189(262) 670-9427 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. Cynthia Kae Decker-riddle O.d. NPPES

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

DR. CYNTHIA KAE DECKER-RIDDLE O.D. (NPI 1225044415) is an individual optometrist in Waukesha, Wisconsin, licensed in Wisconsin (2657) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1225044415
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. CYNTHIA KAE DECKER-RIDDLECredential: O.D.
Location Address203 A EAST SUNSET, WISCONSIN VISIONWaukesha, WI 53189
Mailing Address6171 State Road 167Hartford, WI 53027-9762 · (262) 670-9427
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJuly 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1225044415 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 · 2657
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.
203 A EAST SUNSET, Waukesha, WI 53189

Other Identifiers 1

Medicare UPINU65824WI

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

Dr. Cynthia Kae Decker-riddle O.d. 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 ID1456361096
PECOS Enrollment IDI20060427000237
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53189 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.

87.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.97
Promoting Interoperability85.91
Improvement Activities40

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 Cynthia Decker-riddle's NPI number?

The NPI number for Cynthia Decker-riddle is 1225044415. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Cynthia Decker-riddle located?

Cynthia Decker-riddle practices at 203 A East Sunset Wisconsin Vision, Waukesha, WI 53189. The listed phone number is (262) 670-9427.

What is Cynthia Decker-riddle's specialty?

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

Is Cynthia Decker-riddle enrolled in Medicare?

Yes. Cynthia Decker-riddle 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 Cynthia Decker-riddle accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Cynthia Decker-riddle 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 Cynthia Decker-riddle was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.