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ALWIN EDAKKUNNATHU O.D.
NPI 1467899609
Optometrist in Glendale, WI

Active since May 29, 2013PECOS EnrolledAccepts Medicare Assignment
81.48/100
CMS Quality Rating
5150 N PORT WASHINGTON RD STE 251, GLENDALE, WI 53217(414) 332-0606(414) 967-3604 Get Directions Write a Review

NPPES record last updated: April 17, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 17, 2021, Apr 6, 2021, Mar 12, 2019 (3 updates tracked since 2019).

About Alwin Edakkunnathu O.d. NPPES

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

ALWIN EDAKKUNNATHU O.D. (NPI 1467899609) is an individual optometrist in Glendale, Wisconsin, licensed in Wisconsin (3300-35) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1467899609
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameALWIN EDAKKUNNATHUCredential: O.D.
Location Address5150 N PORT WASHINGTON RD STE 251Glendale, WI 53217-5477
Mailing Address5150 N Port Washington Rd Ste 251Glendale, WI 53217-5477 · (414) 332-0606
Phone(414) 332-0606
Fax(414) 967-3604
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2009
Enumeration DateMay 29, 2013
Last NPPES UpdateApril 17, 20213 updates tracked since enumeration
NPPES CertifiedApril 17, 2021
✔ NPI 1467899609 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 · 3300-35
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.
5150 N PORT WASHINGTON RD STE 251, Glendale, WI 53217
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1620 E Green Bay Ave Ste 124Saukville, WI 53080-2047 · Phone (262) 241-1919 · Fax (262) 241-9046
Location 210320 N Port Washington RdMequon, WI 53092-5767 · Phone (262) 241-1919 · Fax (262) 241-9046

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, 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

Alwin Edakkunnathu 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 ID8123250776
PECOS Enrollment IDI20170804002374
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 9

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 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.
319 services294 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.
178 services139 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.
127 services109 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).
105 services102 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.
70 services65 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
64 services63 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53217 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.

81.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.39
Promoting Interoperability100
Improvement Activities40
Cost49.87

Other Providers at the Same Location NPPES

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

JOSEPH EDWARD ZILISCH
Ophthalmology
5150 N PORT WASHINGTON RD STE 251
GLENDALE, WI 53217
Milwaukee County (414) 332-0606

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 Alwin Edakkunnathu's NPI number?

The NPI number for Alwin Edakkunnathu is 1467899609. It was assigned to this individual provider in the NPPES registry on May 29, 2013.

Where is Alwin Edakkunnathu located?

Alwin Edakkunnathu practices at 5150 N Port Washington Rd Ste 251, Glendale, WI 53217. The listed phone number is (414) 332-0606.

What is Alwin Edakkunnathu's specialty?

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

Is Alwin Edakkunnathu enrolled in Medicare?

Yes. Alwin Edakkunnathu 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 Alwin Edakkunnathu accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Alwin Edakkunnathu 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 Alwin Edakkunnathu affiliated with any hospitals?

According to CMS data, Alwin Edakkunnathu is affiliated with Ascension Columbia St Mary's Hospital Milwaukee.

When was this NPI record last updated?

The NPPES record for Alwin Edakkunnathu was last updated on April 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.