DR. CHARLES MCCANNA M.D.
NPI 1295141893
Ophthalmology in Milwaukee, WI

Active since July 03, 2014PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2500 W LAYTON AVE, MILWAUKEE, WI 53221(414) 281-0424 Get Directions Write a Review

NPPES record last updated: August 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Charles Mccanna M.d. NPPES

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

DR. CHARLES MCCANNA M.D. (NPI 1295141893) is an individual ophthalmology provider in Milwaukee, Wisconsin, licensed in Wisconsin (69110) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Wisconsin School Of Medicine (2014).

NPPES Registry Identity

NPI1295141893
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. CHARLES MCCANNACredential: M.D.
Location Address2500 W LAYTON AVEMilwaukee, WI 53221
Mailing Address2500 W Layton AveMilwaukee, WI 53221-5420 · (608) 333-3215
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2014
Enumeration DateJuly 3, 2014
Last NPPES UpdateAugust 16, 2018
NPI 1295141893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in WI · 69110
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

2500 W LAYTON AVE, Milwaukee, WI 53221

Secondary Practice Locations 3

Location 16020 S Packard AveCudahy, WI 53110-3028 · Phone (414) 769-6900
Location 26080 S 108th StHales Corners, WI 53130-2557 · Phone (414) 425-9002
Location 314555 W National Ave Ste 130New Berlin, WI 53151-4483 · Phone (262) 784-3937

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. Charles Mccanna M.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 ID4789931387
PECOS Enrollment IDI20180726002694
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 18

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
17,040 services53 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.
930 services323 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
685 services122 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.
630 services585 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
545 services53 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.
251 services232 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53221 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 4

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
4 suppliers53 claims53 services$58.27 avg. paid by Medicare
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2103
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers15 claims20 services$32.49 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers30 claims51 services$40.44 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
5 suppliers13 claims23 services$53.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
2500 W LAYTON AVE, SUITE 160
MILWAUKEE, WI 53221
Internal Medicine
2500 W LAYTON AVE, SUITE 250
MILWAUKEE, WI 53221
Physical Therapist
2500 W LAYTON AVE, SUITE 160
MILWAUKEE, WI 53221
Physical Therapist
2500 W LAYTON AVE, SUITE 160
MILWAUKEE, WI 53221
Physical Therapist
2500 W LAYTON AVE, SUITE 160
MILWAUKEE, WI 53221
Nurse Practitioner (Family)
2500 W LAYTON AVE
MILWAUKEE, WI 53221
Physical Therapist
2500 W LAYTON AVE, SUITE 160
MILWAUKEE, WI 53221
Clinic/Center (Radiology)
2500 W LAYTON AVE
MILWAUKEE, WI 53221

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 Charles Mccanna's NPI number?

The NPI number for Charles Mccanna is 1295141893. It was assigned to this individual provider in the NPPES registry on July 3, 2014.

Where is Charles Mccanna located?

Charles Mccanna practices at 2500 W Layton Ave, Milwaukee, WI 53221. The listed phone number is (414) 281-0424.

What is Charles Mccanna's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Charles Mccanna enrolled in Medicare?

Yes. Charles Mccanna 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 Charles Mccanna accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health, Quartz and UnitedHealthcare list Charles Mccanna 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 Charles Mccanna was last updated on August 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.