ANDREW J BALDUS O.D.
NPI 1316924590
Optometrist in West Bend, WI
About Andrew J Baldus O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW J BALDUS O.D. (NPI 1316924590) is an individual optometrist in West Bend, Wisconsin, licensed in Wisconsin (2616) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (1995).
NPPES Registry Identity
Specialties & Licenses
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.
Other Identifiers 15
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
Andrew J Baldus 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.
Areas of Expertise CMS Part B claims 9
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 53095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Andrew Baldus's NPI number?
The NPI number for Andrew Baldus is 1316924590. It was assigned to this individual provider in the NPPES registry on December 28, 2005.
Where is Andrew Baldus located?
Andrew Baldus practices at 1700 W Paradise Dr, West Bend, WI 53095. The listed phone number is (414) 454-7734.
What is Andrew Baldus's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Andrew Baldus enrolled in Medicare?
Yes. Andrew Baldus 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 Andrew Baldus accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 4 other insurers list Andrew Baldus 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 Andrew Baldus was last updated on October 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.
