DR. LAWRENCE W PLATT M.D.
NPI 1467423343
Ophthalmology in Mount Pleasant, WI

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
5802 WASHINGTON AVE, MOUNT PLEASANT, WI 53406(414) 955-2020(414) 955-6300 Get Directions Write a Review

NPPES record last updated: September 17, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Lawrence W Platt M.d. NPPES

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

DR. LAWRENCE W PLATT M.D. (NPI 1467423343) is an individual ophthalmology provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (28690) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and maintains a secondary practice location in Racine.

NPPES Registry Identity

NPI1467423343
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. LAWRENCE W PLATTCredential: M.D.
Location Address5802 WASHINGTON AVEMount Pleasant, WI 53406-4050
Mailing Address5802 Washington AveMount Pleasant, WI 53406-4050 · (414) 955-2020 · Fax (414) 955-6300
Fax(414) 955-6300
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJanuary 30, 2006
Last NPPES UpdateSeptember 17, 2019
NPI 1467423343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in WI · 28690
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.

5802 WASHINGTON AVE, Mount Pleasant, WI 53406

Secondary Practice Location 1

Location 13805A Spring St, Suite 111Racine, WI 53405-1600 · Phone (262) 637-9615 · Fax (262) 637-4437

Other Identifiers 2

Medicaid1467423343WI
Medicaid31553300WI

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. Lawrence W Platt M.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 ID5395874812
PECOS Enrollment IDI20100521000280
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 17

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.
600 services152 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.
534 services454 patients
Injection, bevacizumab, 10 mg J9035
Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.
305 services48 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.
291 services56 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.
192 services192 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.
187 services152 patients

Hospital Affiliations CMS Care Compare

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

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53406 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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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%155 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 13

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

Ophthalmology
5802 WASHINGTON AVE, STE 102
RACINE, WI 53406
Ophthalmology
5802 WASHINGTON AVE, STE 102
RACINE, WI 53406
Dentist
5802 WASHINGTON AVE, SUITE 205
RACINE, WI 53406
Clinic/Center
5802 WASHINGTON AVE
RACINE, WI 53406
Dentist (General Practice)
5802 WASHINGTON AVE, STE 202
RACINE, WI 53406
Podiatrist (Foot & Ankle Surgery)
5802 WASHINGTON AVE, SUITE 103
RACINE, WI 53406
Ophthalmology
5802 WASHINGTON AVE, STE 102
MOUNT PLEASANT, WI 53406
Clinic/Center (Ambulatory Surgical)
5802 WASHINGTON AVE, STE 204
RACINE, WI 53406

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 Lawrence Platt's NPI number?

The NPI number for Lawrence Platt is 1467423343. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Lawrence Platt located?

Lawrence Platt practices at 5802 Washington Ave, Mount Pleasant, WI 53406. The listed phone number is (414) 955-2020.

What is Lawrence Platt's specialty?

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

Is Lawrence Platt enrolled in Medicare?

Yes. Lawrence Platt 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 Lawrence Platt accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health list Lawrence Platt 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 Lawrence Platt affiliated with any hospitals?

According to CMS data, Lawrence Platt is affiliated with Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Lawrence Platt was last updated on September 17, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.