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DR. BRADLEY J WICKLUND O.D.
NPI 1366508293
Optometrist in Plymouth, WI

Active since December 28, 2006PECOS EnrolledAccepts Medicare Assignment
100 CARR RD, PLYMOUTH, WI 53073(920) 893-3937(920) 892-8886 Get Directions Write a Review

NPPES record last updated: July 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bradley J Wicklund O.d. NPPES

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

DR. BRADLEY J WICKLUND O.D. (NPI 1366508293) is an individual optometrist in Plymouth, Wisconsin, licensed in Wisconsin (3049-035) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2006).

NPPES Registry Identity

NPI1366508293
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. BRADLEY J WICKLUNDCredential: O.D.
Location Address100 CARR RDPlymouth, WI 53073-9500
Mailing Address100 Carr RdPlymouth, WI 53073-9500 · (920) 893-3937 · Fax (920) 892-8886
Phone(920) 893-3937
Fax(920) 892-8886
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2006
Enumeration DateDecember 28, 2006
Last NPPES UpdateJuly 15, 2014
✔ NPI 1366508293 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 · 3049-035
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.
100 CARR RD, Plymouth, WI 53073
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Other Identifiers 1

Medicaid38630800WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Bradley J Wicklund 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 ID840391249
PECOS Enrollment IDI20070730000599
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 11

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.
1,614 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.
313 services311 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.
181 services173 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).
129 services127 patients
Measurement of retinal and optic nerve function 92273
This procedure checks the health of your eyes, specifically the retina and optic nerve. These parts help in visual interpretation. The test involves non-invasive techniques to measure your eye's response to light and assess its functioning.
90 services75 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.
72 services64 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53073 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

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
100%20 patients5/55-star benchmark: 100%
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 2

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

CORINNE BEIERSDORF WICKLUND OD
Optometrist
100 CARR RD
PLYMOUTH, WI 53073
Sheboygan County (920) 892-3937
DR. ALEXANDRIA VANELLS OD
Optometrist
100 CARR RD
PLYMOUTH, WI 53073
Sheboygan County (920) 893-3937

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 Bradley Wicklund's NPI number?

The NPI number for Bradley Wicklund is 1366508293. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Bradley Wicklund located?

Bradley Wicklund practices at 100 Carr Rd, Plymouth, WI 53073. The listed phone number is (920) 893-3937.

What is Bradley Wicklund's specialty?

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

Is Bradley Wicklund enrolled in Medicare?

Yes. Bradley Wicklund 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 Bradley Wicklund accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Network Health and 2 other insurers list Bradley Wicklund 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 Bradley Wicklund was last updated on July 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.