DR. THOMAS PAUL COLVIN OD
NPI 1255079927
Optometrist in Wausau, WI
About Dr. Thomas Paul Colvin Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THOMAS PAUL COLVIN OD (NPI 1255079927) is an individual optometrist in Wausau, Wisconsin, licensed in Wisconsin (3948-35) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Thomas Paul Colvin 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.
Medicare Billing Reassignments
2Medicare enrollment records show Thomas Colvin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wausau, WI 54403
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Eye Clinic Of Wisconsin, S.C.
- 19 clinicians in this Medicare group
Flint, MI 48532
- Reassigned Medicare billing, Michigan enrollment
- 22 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 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.
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.
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.
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.
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 Thomas Colvin's NPI number?
The NPI number for Thomas Colvin is 1255079927. It was assigned to this individual provider in the NPPES registry on May 23, 2022.
Where is Thomas Colvin located?
Thomas Colvin practices at 800 N 1st St, Wausau, WI 54403. The listed phone number is (715) 261-8500.
What is Thomas Colvin's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Thomas Colvin enrolled in Medicare?
Yes. Thomas Colvin 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.
Which organizations bill Medicare for Thomas Colvin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Colvin reassigns Medicare benefits to 2 organizations: Eye Clinic Of Wisconsin Sc (Wausau, WI) and Mei Operations, PLLC (Flint, MI). 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 Thomas Colvin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Colvin accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and HealthPartners and 2 other insurers list Thomas Colvin 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 Thomas Colvin was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Dr. Thomas Paul Colvin, OD · NPI 1255079927
Optometrist provider in Wausau, Wisconsin. Individual provider, active in the CMS NPPES registry since May 23, 2022.
## Identity
- **NPI:** 1255079927 (Entity type: Individual)
- **Enumerated:** May 23, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 3948-35 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 N 1ST ST, Wausau, WI 54403-4754
- **Phone:** (715) 261-8500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Eye Clinic Of Wisconsin Sc (NPI 1740263458, Wausau, WI); Mei Operations, PLLC (NPI 1316008774, Flint, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ferris State College - College Of Optometry, class of 2022
## Record status
- **NPPES last updated:** November 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1255079927) · Data from the CMS NPPES public registry.