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DR. TAMMI L SAWALLISH OD
NPI 1225063514
Optometrist in Berlin, WI

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
99.54/100
CMS Quality Rating
269 MEMORIAL DR STE 103, BERLIN, WI 54923(920) 361-1696(920) 361-1247 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 1, 2023, Jul 18, 2023 (2 updates tracked since 2023).

About Dr. Tammi L Sawallish Od NPPES

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

DR. TAMMI L SAWALLISH OD (NPI 1225063514) is an individual optometrist in Berlin, Wisconsin, licensed in Wisconsin (3047-035) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2006).

NPPES Registry Identity

NPI1225063514
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. TAMMI L SAWALLISHCredential: OD
Location Address269 MEMORIAL DR STE 103Berlin, WI 54923-1243
Mailing AddressPo Box 228Berlin, WI 54923-0228 · (920) 361-1696 · Fax (920) 361-1247
Phone(920) 361-1696
Fax(920) 361-1247
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2006
Enumeration DateJuly 12, 2006
Last NPPES UpdateSeptember 1, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
✔ NPI 1225063514 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 · 3047-035
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.
269 MEMORIAL DR STE 103, Berlin, WI 54923
Open in Google Maps ↗

Other Identifiers 1

Medicaid38630100WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, 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. Tammi L Sawallish 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 ID4789687716
PECOS Enrollment IDI20060814000018
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 6

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.
76 services76 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
28 services28 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.
24 services23 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.
23 services22 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).
17 services16 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54923 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.

99.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality96.69
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
84%83 patients4/55-star benchmark: 87%
Diabetes: Eye Exam
100%188 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
77%52 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
99%1,439 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
100%42 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%599 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Tammi Sawallish's NPI number?

The NPI number for Tammi Sawallish is 1225063514. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Tammi Sawallish located?

Tammi Sawallish practices at 269 Memorial Dr Ste 103, Berlin, WI 54923. The listed phone number is (920) 361-1696.

What is Tammi Sawallish's specialty?

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

Is Tammi Sawallish enrolled in Medicare?

Yes. Tammi Sawallish 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 Tammi Sawallish accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, HealthPartners, Network Health and Providence Health Plan and 2 other insurers list Tammi Sawallish 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 Tammi Sawallish was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.