ELIZABETH MARIE CONGDON O.D.
NPI 1598115289
Optometrist in Green Bay, WI

Q: What is Elizabeth Congdon's NPI number?

The NPI number for Elizabeth Congdon is 1598115289. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Q: What is Elizabeth Congdon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Congdon was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 14, 2016PECOS EnrolledAccepts Medicare Assignment

77.33/100

CMS Quality Rating

2253 W MASON ST, #100, GREEN BAY, WI 54303(920) 327-7000(920) 327-7005 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2024, Jun 14, 2016 (2 updates tracked since 2016).

On this page

About Elizabeth Marie Congdon O.d. NPPES

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

ELIZABETH MARIE CONGDON O.D. (NPI 1598115289) is an individual optometrist in Green Bay, Wisconsin, licensed in Wisconsin (3418) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1598115289

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameELIZABETH MARIE CONGDONCredential: O.D.

Location Address2253 W MASON ST, #100Green Bay, WI 54303-4706

Mailing Address1035 Kepler DrGreen Bay, WI 54311-8320 · (920) 490-9046

Phone(920) 327-7000

Fax(920) 327-7005

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 14, 2016

Last NPPES UpdateApril 10, 20242 updates tracked since enumeration

NPPES CertifiedApril 10, 2024

✔ NPI 1598115289 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 · 3418

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.

2253 W MASON ST, Green Bay, WI 54303

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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, CareSource (Common Ground Healthcare) 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

Elizabeth Marie Congdon 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 ID9739471004

PECOS Enrollment IDI20160706002024

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 8

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.

131 services126 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.

79 services58 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.

44 services44 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.

28 services28 patients

New patient problem focused exam of visual system 92002

A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.

23 services23 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54303 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.

77.33/100

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

Scored as part of a group practice

Quality

76.22

Promoting Interoperability

100

Improvement Activities

Cost

48.23

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.

NICOLE L LOWE APNP

Nurse Practitioner

2253 W MASON ST
GREEN BAY, WI 54303

Brown County (920) 327-7300

BRAD J LAVALLIE OD

Optometrist

2253 W MASON ST
GREEN BAY, WI 54303

Brown County (920) 327-7000

HEIDI KATHRYN BERGMAN PT, DPT

Physical Therapist

2253 W MASON ST
GREEN BAY, WI 54303

Brown County (920) 288-4712

JULIE A MAGNIN M.D.

Family Medicine

2253 W MASON ST
GREEN BAY, WI 54303

Brown County (920) 327-7300

CLINTON B OLSON MD

Family Medicine

2253 W MASON ST
GREEN BAY, WI 54303

Brown County (920) 327-7300

NICHOLAS JAMES HEEZEN D.O.

Internal Medicine

2253 W MASON ST, SUITE 200
GREEN BAY, WI 54303

Brown County (920) 327-7300

DR. MARK R KROLL D.O.

Emergency Medicine

2253 W MASON ST
GREEN BAY, WI 54303

Brown County (920) 327-7000

SHANNA M SEBERO APNP

Nurse Practitioner

2253 W MASON ST
GREEN BAY, WI 54303

Brown County (920) 327-7300

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 Elizabeth Congdon's NPI number?

The NPI number for Elizabeth Congdon is 1598115289. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Where is Elizabeth Congdon located?

Elizabeth Congdon practices at 2253 W Mason St #100, Green Bay, WI 54303. The listed phone number is (920) 327-7000.

What is Elizabeth Congdon's specialty?

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

Is Elizabeth Congdon enrolled in Medicare?

Yes. Elizabeth Congdon 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 Elizabeth Congdon accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 2 other insurers list Elizabeth Congdon 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 Elizabeth Congdon was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.