ANDREW J BALDUS O.D.
NPI 1316924590
Optometrist in West Bend, WI

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment
1700 W PARADISE DR, WEST BEND, WI 53095(414) 454-7734 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 17, 2023, Mar 7, 2023 (2 updates tracked since 2023).

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

NPI1316924590
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameANDREW J BALDUSCredential: O.D.
Location Address1700 W PARADISE DRWest Bend, WI 53095-9795
Mailing Address1700 W Paradise DrWest Bend, WI 53095-9795 · (414) 454-7734
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 1995
Enumeration DateDecember 28, 2005
Last NPPES UpdateOctober 17, 20232 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
NPI 1316924590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in WI · 2616
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.

1700 W PARADISE DR, West Bend, WI 53095

Other Identifiers 15

Other10445WI · Nva-medford
Other39-1967186WI · Federal Tax Id-colby
Other410046660WI · Railroad Medicare-colby
Other39-1229699WI · Federal Tax Id-medford
Other391967186019WI · Blue Cross Blue Shield-co
Other410046659WI · Railroad Medicare-medford
Other1271670001WI · Dmerc-colby Group
Other2616WI · License
Medicaid38596900WI
Other391229699015WI · Blue Cross Blue Shield-me
Other0474980001WI · Dmerc-medford Group
Medicaid38715100WI
Medicaid38715300WI
Other74812WI · Security Health Plan-colb
Other74813WI · Security Health Plan-medf

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.

PECOS PAC ID8527066976
PECOS Enrollment IDI20061117000396
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 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
128 services127 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.
94 services80 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.
51 services51 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
25 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 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).
20 services20 patients

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.

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.

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.

Family Medicine
1700 W PARADISE DR
WEST BEND, WI 53095
Physical Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Family Medicine
1700 W PARADISE DR
WEST BEND, WI 53095
Physical Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Family Medicine (Geriatric Medicine)
1700 W PARADISE DR
WEST BEND, WI 53095
Physical Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Physical Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Obstetrics & Gynecology
1700 W PARADISE DR
WEST BEND, WI 53095

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316924590, enumerated as an "individual" on December 28, 2005.

The provider is located at 1700 W PARADISE DR WEST BEND, WI 53095 and the phone number is (414) 454-7734.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.