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DR. DONNA R DAUFENBACH MD
NPI 1467567602
Ophthalmology in Racine, WI

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
5333 DOUGLAS AVE, RACINE, WI 53402(262) 752-2100(262) 752-2126 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2023, Mar 7, 2023, Jan 20, 2022 (3 updates tracked since 2022).

About Dr. Donna R Daufenbach Md NPPES

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

DR. DONNA R DAUFENBACH MD (NPI 1467567602) is an individual ophthalmology provider in Racine, Wisconsin, licensed in Wisconsin (33374) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center Kenosha, and is a graduate of Medical College Of Wisconsin (1991).

NPPES Registry Identity

NPI1467567602
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. DONNA R DAUFENBACHCredential: MD
Location Address5333 DOUGLAS AVERacine, WI 53402-2032
Mailing Address5333 Douglas AveRacine, WI 53402-2032 · (262) 752-2100 · Fax (262) 752-2126
Phone(262) 752-2100
Fax(262) 752-2126
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1991
Enumeration DateAugust 20, 2006
Last NPPES UpdateAugust 10, 20233 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1467567602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in WI · 33374
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.
5333 DOUGLAS AVE, Racine, WI 53402
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Other Identifiers 1

Medicaid32111300WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross and Blue Shield of Montana 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. Donna R Daufenbach 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 ID6608061593
PECOS Enrollment IDI20101117001184
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 11

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 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.
434 services362 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.
64 services64 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).
60 services59 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.
56 services33 patients
Insertion of drug delivery implant into tear duct of eye 68841
This procedure involves placing a small implant into your tear duct. The implant slowly releases medication to your eye, helping manage conditions like dry eyes or glaucoma. It's a simple, quick procedure typically performed under local anesthesia.
55 services33 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.
52 services32 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53402 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 8

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

DR. DAVID C ZABLOTNEY MD
Family Medicine
5333 DOUGLAS AVE
RACINE, WI 53402
Racine County (262) 752-2100
ADEL KHDOUR MD
Family Medicine
5333 DOUGLAS AVE
RACINE, WI 53402
Racine County (262) 752-2100
AURORA HEALTH CARE VENTURES, INC.
Eyewear Supplier
5333 DOUGLAS AVE
RACINE, WI 53402
Racine County (262) 752-2150
JULIE ANNE PIGNOTTI PA-C
Physician Assistant
5333 DOUGLAS AVE
CALEDONIA, WI 53402
Racine County (262) 752-2100
AURORA MEDICAL GROUP, INC.
Durable Medical Equipment & Medical Supplies
5333 DOUGLAS AVE
RACINE, WI 53402
Racine County (262) 752-2100
DR. MARY E PAGANO MD
Internal Medicine
5333 DOUGLAS AVE
RACINE, WI 53402
Racine County (262) 752-2100
DR. SHALINI RAVI MD
Internal Medicine
5333 DOUGLAS AVE
RACINE, WI 53402
Racine County (262) 752-2100
DR. ROSS IRA CLAIR OD
Optometrist
5333 DOUGLAS AVE
CALEDONIA, WI 53402
Racine County (262) 752-2100

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 Donna Daufenbach's NPI number?

The NPI number for Donna Daufenbach is 1467567602. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Donna Daufenbach located?

Donna Daufenbach practices at 5333 Douglas Ave, Racine, WI 53402. The listed phone number is (262) 752-2100.

What is Donna Daufenbach's specialty?

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

Is Donna Daufenbach enrolled in Medicare?

Yes. Donna Daufenbach 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 Donna Daufenbach accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Donna Daufenbach 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 Donna Daufenbach affiliated with any hospitals?

According to CMS data, Donna Daufenbach is affiliated with Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Donna Daufenbach was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.