DR. THERESA L. FRITH O.D.
NPI 1366497877
Optometrist in Baraboo, WI

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
1626 TUTTLE ST, BARABOO, WI 53913(608) 356-2020(608) 355-7055 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2020, Apr 30, 2019, Nov 7, 2016 (3 updates tracked since 2016).

About Dr. Theresa L. Frith O.d. NPPES

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

DR. THERESA L. FRITH O.D. (NPI 1366497877) is an individual optometrist in Baraboo, Wisconsin, licensed in Wisconsin (2809-035) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1997).

NPPES Registry Identity

NPI1366497877
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. THERESA L. FRITHCredential: O.D.
Location Address1626 TUTTLE STBaraboo, WI 53913-1501
Mailing Address1626 Tuttle St Ste 1Baraboo, WI 53913-1501 · (608) 356-2020 · Fax (608) 355-7055
Fax(608) 355-7055
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1997
Enumeration DateMay 23, 2006
Last NPPES UpdateNovember 12, 20203 updates tracked since enumeration
NPPES CertifiedNovember 12, 2020
NPI 1366497877 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 · 2809-035
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.
1626 TUTTLE ST, Baraboo, WI 53913

Other Identifiers 1

Medicaid1366497877WI

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. Theresa L. Frith 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 ID6204981632
PECOS Enrollment IDI20161110001656
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 12

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.
8,550 services66 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
1,440 services13 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
990 services11 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.
321 services321 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.
293 services281 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.
162 services157 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53913 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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
13%64 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
94%35 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
58%74 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
12%95 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
35%34 patients2/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 17

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

Nurse Practitioner
1626 TUTTLE ST
BARABOO, WI 53913
Internal Medicine (Rheumatology)
1626 TUTTLE ST
BARABOO, WI 53913
Surgery
1626 TUTTLE ST
BARABOO, WI 53913
Podiatrist
1626 TUTTLE ST
BARABOO, WI 53913
Nurse Practitioner
1626 TUTTLE ST
BARABOO, WI 53913
Surgery
1626 TUTTLE ST
BARABOO, WI 53913
Nurse Practitioner
1626 TUTTLE ST
BARABOO, WI 53913
Durable Medical Equipment & Medical Supplies
1626 TUTTLE ST
BARABOO, WI 53913

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 Theresa Frith's NPI number?

The NPI number for Theresa Frith is 1366497877. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Theresa Frith located?

Theresa Frith practices at 1626 Tuttle St, Baraboo, WI 53913. The listed phone number is (608) 356-2020.

What is Theresa Frith's specialty?

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

Is Theresa Frith enrolled in Medicare?

Yes. Theresa Frith 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 Theresa Frith accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana and Providence Health Plan list Theresa Frith 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 Theresa Frith was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.