MR. MARK F BROWER DO
NPI 1376530568
Ophthalmology in Elkhorn, WI

Active since October 03, 2005PECOS EnrolledAccepts Medicare Assignment
70.6/100
CMS Quality Rating
1311 S LINCOLN ST, ELKHORN, WI 53121(262) 723-4600(262) 947-4996 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Mark F Brower Do NPPES

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

MR. MARK F BROWER DO (NPI 1376530568) is an individual ophthalmology provider in Elkhorn, Wisconsin, licensed in Wisconsin (24821) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Burlington, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1981).

NPPES Registry Identity

NPI1376530568
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMR. MARK F BROWERCredential: DO
Location Address1311 S LINCOLN STElkhorn, WI 53121-4375
Mailing Address1311 S Lincoln StElkhorn, WI 53121-4375 · (262) 723-4600 · Fax (262) 723-4710
Fax(262) 947-4996
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1981
Enumeration DateOctober 3, 2005
Last NPPES UpdateAugust 18, 2023
NPPES CertifiedAugust 18, 2023
NPI 1376530568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in WI · 24821
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1311 S LINCOLN ST, Elkhorn, WI 53121

Secondary Practice Location 1

Location 1675 W State StBurlington, WI 53105-1739 · Phone (262) 763-7772 · Fax (262) 947-4996

Other Identifiers 1

Medicaid30025700WI

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

Mr. Mark F Brower Do 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 ID446163257
PECOS Enrollment IDI20090604000621
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 14

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.

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.
648 services630 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.
152 services120 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
130 services85 patients
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.
121 services73 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.
107 services87 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).
103 services100 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53121 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.

70.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality67.93
Promoting Interoperability99
Improvement Activities40
Cost34.91

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
87%164 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
14%2,616 patients1/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
98%207 patients
Provide Patients Electronic Access to Their Health Information
99%708 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 5

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 suppliers47 claims47 services$52.21 avg. paid by Medicare
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2103
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers11 claims17 services$32.52 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier11 claims19 services$44.74 avg. paid by Medicare
Sphere, trifocal, plano to plus or minus 4.00d, per lens V2300
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier13 claims15 services$47.58 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers54 claims90 services$51.55 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 4

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

Ophthalmology
1311 S LINCOLN ST
ELKHORN, WI 53121
Ophthalmology
1311 S LINCOLN ST
ELKHORN, WI 53121
Ophthalmology
1311 S LINCOLN ST
ELKHORN, WI 53121
Ophthalmology
1311 S LINCOLN ST
ELKHORN, WI 53121

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 Mark Brower's NPI number?

The NPI number for Mark Brower is 1376530568. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Mark Brower located?

Mark Brower practices at 1311 S Lincoln St, Elkhorn, WI 53121. The listed phone number is (262) 723-4600.

What is Mark Brower's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Mark Brower enrolled in Medicare?

Yes. Mark Brower 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 Mark Brower accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare list Mark Brower 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 Mark Brower was last updated on August 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.