TODD M ZARWELL OD
NPI 1619933488
Optometrist in Madison, WI

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment
1025 REGENT ST, DAVIS DUEHR DEAN/DEAN MEDICAL CENTER, MADISON, WI 53715(608) 282-2000(608) 282-2172 Get Directions Write a Review

NPPES record last updated: May 9, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Todd M Zarwell Od NPPES

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

TODD M ZARWELL OD (NPI 1619933488) is an individual optometrist in Madison, Wisconsin, licensed in Wisconsin (2756-035) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1999).

NPPES Registry Identity

NPI1619933488
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameTODD M ZARWELLCredential: OD
Location Address1025 REGENT ST, DAVIS DUEHR DEAN/DEAN MEDICAL CENTERMadison, WI 53715-1248
Mailing Address1025 Regent St, Davis Duehr Dean/dean Medical CenterMadison, WI 53715-1248 · (608) 282-2000 · Fax (608) 282-2172
Fax(608) 282-2172
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1999
Enumeration DateApril 21, 2006
Last NPPES UpdateMay 9, 2008
NPI 1619933488 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 · 2756-035
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.

1025 REGENT ST, Madison, WI 53715

Other Identifiers 6

Other7053WI · Dean Health Insurance
Medicaid38606300WI
Medicare UPINU74966
Medicare PINP00364694WI
Medicare PIN000354340WI
Medicare PIN063474150WI

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

Todd M Zarwell 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 ID5799762175
PECOS Enrollment IDI20040702000702
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 3

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, 30-39 minutes 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.
21 services20 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.
12 services12 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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 20

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

Optometrist
1025 REGENT ST, DAVIS DUEHR DEAN DEAN MEDICAL CENTER
MADISON, WI 53715
Optometrist
1025 REGENT ST, DAVIS DUEHR DEAN/DEAN MEDICAL CENTER
MADISON, WI 53715
Anesthesiology
1025 REGENT ST, DAVIS DUEHR DEAN MEDICAL CENTER
MADISON, WI 53715
Ophthalmology
1025 REGENT ST, DAVIS DUEHR DEAN
MADISON, WI 53715
Ophthalmology
1025 REGENT ST, DAVIS DUEHR DEAN
MADISON, WI 53715
Ophthalmology
1025 REGENT ST, DAVIS DUEHR DEAN
MADISON, WI 53715
Registered Nurse (Ophthalmic)
1025 REGENT ST
MADISON, WI 53715
Ophthalmology
1025 REGENT ST
MADISON, WI 53715

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 Todd Zarwell's NPI number?

The NPI number for Todd Zarwell is 1619933488. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Todd Zarwell located?

Todd Zarwell practices at 1025 Regent St Davis Duehr Dean/Dean Medical Center, Madison, WI 53715. The listed phone number is (608) 282-2000.

What is Todd Zarwell's specialty?

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

Is Todd Zarwell enrolled in Medicare?

Yes. Todd Zarwell 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 Todd Zarwell accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Todd Zarwell 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 Todd Zarwell was last updated on May 9, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.