DR. MARC D HIRSCH MD
NPI 1386624120
Ophthalmology in Milwaukee, WI

Q: What is Marc Hirsch's NPI number?

The NPI number for Marc Hirsch is 1386624120. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Q: What is Marc Hirsch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marc Hirsch was last updated on November 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since January 18, 2006PECOS EnrolledAccepts Medicare Assignment

79.45/100

CMS Quality Rating

2801 W KINNICKINNIC RIVER PKWY, STE 170, MILWAUKEE, WI 53215(414) 385-1277(414) 385-8730 Get Directions Write a Review

NPPES record last updated: November 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Marc D Hirsch Md NPPES

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

DR. MARC D HIRSCH MD (NPI 1386624120) is an individual ophthalmology provider in Milwaukee, Wisconsin, licensed in Wisconsin (48395) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Chicago College Of Medicine And Surgery (1998).

NPPES Registry Identity

NPI1386624120

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. MARC D HIRSCHCredential: MD

Location Address2801 W KINNICKINNIC RIVER PKWY, STE 170Milwaukee, WI 53215-3669

Mailing Address2801 W Kinnickinnic River Pkwy, Ste 170Milwaukee, WI 53215-3669 · (414) 385-1277 · Fax (414) 385-8730

Phone(414) 385-1277

Fax(414) 385-8730

Sole ProprietorNo

Medical School CMSChicago College Of Medicine And SurgeryGraduated 1998

Enumeration DateJanuary 18, 2006

Last NPPES UpdateNovember 14, 2011

✔ NPI 1386624120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in WI · 48395

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.

2801 W KINNICKINNIC RIVER PKWY, Milwaukee, WI 53215

Open in Google Maps ↗

Other Identifiers 5

Medicare NSC1588963508WI

Medicare NSC1427347822WI

Medicare NSC0264580002WI

Medicare NSC0264580001WI

Medicaid34678800WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, Quartz 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. Marc D Hirsch Md 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 ID8426043852

PECOS Enrollment IDI20050901000103

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 16

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.

349 services347 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.

261 services120 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

203 services134 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.

168 services109 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

144 services23 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.

133 services112 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

88 services13 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.

85 services72 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).

80 services77 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

71 services71 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

69 services64 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

54 services51 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.

50 services48 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.

47 services47 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.

39 services37 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520051

Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County

Emergency services Birthing friendly

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520138

Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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.

79.45/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.47

Promoting Interoperability

Improvement Activities

Cost

81.05

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.

CARRIE S BILICKI RN

Registered Nurse

2801 W KINNICKINNIC RIVER PKWY, STE 525
MILWAUKEE, WI 53215

Milwaukee County (414) 385-2630

BRIANNA CECELIA MURPHY PA-C

Physician Assistant

2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215

Milwaukee County (414) 646-9820

DR. PAUL S BERNSTEIN

Internal Medicine (Cardiovascular Disease)

2801 W KINNICKINNIC RIVER PKWY, 840
MILWAUKEE, WI 53215

Milwaukee County (414) 649-3530

DR. PRAKASH D SHAH M.D.

Internal Medicine (Cardiovascular Disease)

2801 W KINNICKINNIC RIVER PKWY, STE 840
MILWAUKEE, WI 53215

Milwaukee County (414) 649-3530

M CHRISTINE GIEBEL PA-C

Physician Assistant

2801 W KINNICKINNIC RIVER PKWY, SUITE 345
MILWAUKEE, WI 53215

Milwaukee County (414) 385-2700

ROBERT A. DIULIO M.D.

Orthopaedic Surgery

2801 W KINNICKINNIC RIVER PKWY, SUITE 575
MILWAUKEE, WI 53215

Milwaukee County (414) 643-8800

CHRISTINE A KENYON LAUNDRE M.D.

Anesthesiology

2801 W KINNICKINNIC RIVER PKWY, SUITE 453
MILWAUKEE, WI 53215

Milwaukee County (414) 385-2380

JODI L ZILINSKI M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)

2801 W KINNICKINNIC RIVER PKWY, SUITE 777
MILWAUKEE, WI 53215

Milwaukee County (414) 649-3390

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 Marc Hirsch's NPI number?

The NPI number for Marc Hirsch is 1386624120. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Marc Hirsch located?

Marc Hirsch practices at 2801 W Kinnickinnic River Pkwy Ste 170, Milwaukee, WI 53215. The listed phone number is (414) 385-1277.

What is Marc Hirsch's specialty?

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

Is Marc Hirsch enrolled in Medicare?

Yes. Marc Hirsch 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 Marc Hirsch accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health, Quartz and UnitedHealthcare list Marc Hirsch 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.

Is Marc Hirsch affiliated with any hospitals?

According to CMS data, Marc Hirsch is affiliated with Ascension Columbia St Mary's Hospital Milwaukee and Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Marc Hirsch was last updated on November 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.