PAUL KAPPELL O.D.
NPI 1376783621
Optometrist in Slinger, WI

Active since February 26, 2009PECOS EnrolledAccepts Medicare Assignment
425A E WASHINGTON ST, SLINGER, WI 53086(920) 257-3599 Get Directions Write a Review

NPPES record last updated: August 13, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Paul Kappell O.d. NPPES

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

PAUL KAPPELL O.D. (NPI 1376783621) is an individual optometrist in Slinger, Wisconsin, licensed in Wisconsin (3134-035) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2008).

NPPES Registry Identity

NPI1376783621
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NamePAUL KAPPELLCredential: O.D.
Location Address425A E WASHINGTON STSlinger, WI 53086-9440
Mailing Address425a E Washington StSlinger, WI 53086-9440 · (920) 257-3599
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2008
Enumeration DateFebruary 26, 2009
Last NPPES UpdateAugust 13, 2014
✔ NPI 1376783621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in WI · 3134-035✔ Licensed in IN · 18003541A
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.
425A E WASHINGTON ST, Slinger, WI 53086

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul Kappell 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 ID3072839489
PECOS Enrollment IDI20150309002662
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Paul Kappell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eyewear Supplier
1595 E SUMNER ST STE 108
Hartford, WI 53027
  • Reassigned Medicare billing, Wisconsin enrollment
  • 187 clinicians in this Medicare group
Optometrist
1116 N MAIN ST
West Bend, WI 53090
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53086 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

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

Optometrist
425A E WASHINGTON ST
SLINGER, WI 53086

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 Paul Kappell's NPI number?

The NPI number for Paul Kappell is 1376783621. It was assigned to this individual provider in the NPPES registry on February 26, 2009.

Where is Paul Kappell located?

Paul Kappell practices at 425A E Washington St, Slinger, WI 53086. The listed phone number is (920) 257-3599.

What is Paul Kappell's specialty?

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

Is Paul Kappell enrolled in Medicare?

Yes. Paul Kappell 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.

Which organizations bill Medicare for Paul Kappell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Kappell reassigns Medicare benefits to 2 organizations: Shoptikal LLC (Hartford, WI) and Advanced Focus Eyecare LLC (West Bend, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Kappell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Kappell accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Paul Kappell 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 Paul Kappell was last updated on August 13, 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.