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DR. JUSTIN DEAN ATHERTON O.D.
NPI 1316293525
Optometrist in Black River Falls, WI

Active since July 25, 2012PECOS EnrolledAccepts Medicare Assignment
601 W ADAMS ST, BLACK RIVER FALLS, WI 54615(715) 274-6451 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, Sep 14, 2017 (2 updates tracked since 2017).

About Dr. Justin Dean Atherton O.d. NPPES

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

DR. JUSTIN DEAN ATHERTON O.D. (NPI 1316293525) is an individual optometrist in Black River Falls, Wisconsin, licensed in Wisconsin (3461) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2012).

NPPES Registry Identity

NPI1316293525
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JUSTIN DEAN ATHERTONCredential: O.D.
Location Address601 W ADAMS STBlack River Falls, WI 54615-9010
Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300
Phone(715) 274-6451
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2012
Enumeration DateJuly 25, 2012
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1316293525 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 · 3461✔ Licensed in AR · 2674
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.
601 W ADAMS ST, Black River Falls, WI 54615
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Other Identifiers 1

Other2674AR · Liscence #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, 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. Justin Dean Atherton 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 ID4688820616
PECOS Enrollment IDI20171005001034
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.
4,483 services39 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.
212 services211 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.
121 services77 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
52 services43 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.
50 services50 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).
49 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54615 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

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
2 suppliers12 claims12 services$57.19 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRUCE A LAHMAYER OD
Optometrist
601 W ADAMS ST
BLACK RIVER FALLS, WI 54615
Jackson County (715) 284-9451
GUNDERSEN CLINIC, LTD.
Optometrist
601 W ADAMS ST
BLACK RIVER FALLS, WI 54615
Jackson County (608) 782-7300

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 Justin Atherton's NPI number?

The NPI number for Justin Atherton is 1316293525. It was assigned to this individual provider in the NPPES registry on July 25, 2012.

Where is Justin Atherton located?

Justin Atherton practices at 601 W Adams St, Black River Falls, WI 54615. The listed phone number is (715) 274-6451.

What is Justin Atherton's specialty?

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

Is Justin Atherton enrolled in Medicare?

Yes. Justin Atherton 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 Justin Atherton accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Medica and Quartz and 1 other insurer list Justin Atherton 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 Justin Atherton was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.