DR. BRANDON D SHEETZ O.D.
NPI 1245222561
Optometrist in Janesville, WI

Q: What is Brandon Sheetz's NPI number?

The NPI number for Brandon Sheetz is 1245222561. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Q: What is Brandon Sheetz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brandon Sheetz was last updated on December 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 22, 2005PECOS EnrolledAccepts Medicare Assignment

1010 N WASHINGTON ST, JANESVILLE, WI 53548(608) 741-6794 Get Directions Write a Review

NPPES record last updated: December 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Brandon D Sheetz O.d. NPPES

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

DR. BRANDON D SHEETZ O.D. (NPI 1245222561) is an individual optometrist in Janesville, Wisconsin, licensed in Wisconsin (2928-035) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2002).

NPPES Registry Identity

NPI1245222561

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. BRANDON D SHEETZCredential: O.D.

Location Address1010 N WASHINGTON STJanesville, WI 53548-1500

Mailing Address1010 N Washington StJanesville, WI 53548-1500 · (608) 741-6794

Phone(608) 741-6794

Sole ProprietorYes

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2002

Enumeration DateAugust 22, 2005

Last NPPES UpdateDecember 27, 2020

NPPES CertifiedDecember 27, 2020

✔ NPI 1245222561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in WI · 2928-035✔ Licensed in IL · 046-009508

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.

1010 N WASHINGTON ST, Janesville, WI 53548

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Other Identifiers 2

OtherSHEETBRAWI · Mercycare Ins

OtherP00745051CD3624WI · Rr Medicare

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, Providence Health Plan.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. Brandon D Sheetz 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 ID4284536483

PECOS Enrollment IDI20040127000051

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 8

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.

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.

2,160 services15 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.

220 services220 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.

138 services103 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.

53 services48 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).

36 services33 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.

31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53548 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier13 claims13 services$48.35 avg. paid by Medicare

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier11 claims17 services$43.81 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

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