DR. NICHOLAS ROOVERS OD
NPI 1457843161
Optometrist in De Pere, WI

Active since May 30, 2018PECOS EnrolledAccepts Medicare Assignment
230 N WISCONSIN ST, DE PERE, WI 54115(920) 336-3390 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 14, 2019, Jul 13, 2018 (2 updates tracked since 2018).

About Dr. Nicholas Roovers Od NPPES

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

DR. NICHOLAS ROOVERS OD (NPI 1457843161) is an individual optometrist in De Pere, Wisconsin, licensed in Wisconsin (3502-35) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2018).

NPPES Registry Identity

NPI1457843161
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. NICHOLAS ROOVERSCredential: OD
Location Address230 N WISCONSIN STDe Pere, WI 54115
Mailing Address2430 E Mason StGreen Bay, WI 54302-3759 · (920) 468-4642 · Fax (920) 468-3490
Sole ProprietorYes
Medical School CMSSouthern California College Of OptometryGraduated 2018
Enumeration DateMay 30, 2018
Last NPPES UpdateAugust 14, 20192 updates tracked since enumeration
NPI 1457843161 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 · 3502-35
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.

230 N WISCONSIN ST, De Pere, WI 54115

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. Nicholas Roovers Od 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 ID6103173893
PECOS Enrollment IDI20180726001944
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 2

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.
1,974 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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54115 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 6

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

Optometrist
230 N WISCONSIN ST
DE PERE, WI 54115
Pharmacist (Pharmacotherapy)
230 N WISCONSIN ST
DE PERE, WI 54115
Pharmacy (Community/Retail Pharmacy)
230 N WISCONSIN ST
DE PERE, WI 54115
Eyewear Supplier
230 N WISCONSIN ST
DE PERE, WI 54115
Pharmacist (Pharmacotherapy)
230 N WISCONSIN ST
DE PERE, WI 54115
Pharmacist
230 N WISCONSIN ST
DE PERE, WI 54115

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 Nicholas Roovers's NPI number?

The NPI number for Nicholas Roovers is 1457843161. It was assigned to this individual provider in the NPPES registry on May 30, 2018.

Where is Nicholas Roovers located?

Nicholas Roovers practices at 230 N Wisconsin St, De Pere, WI 54115. The listed phone number is (920) 336-3390.

What is Nicholas Roovers's specialty?

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

Is Nicholas Roovers enrolled in Medicare?

Yes. Nicholas Roovers 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 Nicholas Roovers accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 6 other insurers list Nicholas Roovers 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 Nicholas Roovers was last updated on August 14, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.