DR. GERALD J HARRIS MD
NPI 1629029467
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Milwaukee, WI

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
925 N 87TH ST, MED COLLEGE CLINICS AT THE EYE INST, MILWAUKEE, WI 53226(414) 456-2020(414) 456-6300 Get Directions Write a Review

NPPES record last updated: April 12, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Gerald J Harris Md NPPES

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

DR. GERALD J HARRIS MD (NPI 1629029467) is an individual ophthalmic plastic and reconstructive surgery provider in Milwaukee, Wisconsin, licensed in Wisconsin (20742) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and is a graduate of Northwestern University Feinberg Medical School (1970).

NPPES Registry Identity

NPI1629029467
Entity TypeIndividualMale
Primary Taxonomy207WX0200X
Provider Legal NameDR. GERALD J HARRISCredential: MD
Location Address925 N 87TH ST, MED COLLEGE CLINICS AT THE EYE INSTMilwaukee, WI 53226-4812
Mailing Address925 N 87th St, Med College Clinics At The Eye InstMilwaukee, WI 53226-4812 · (414) 456-2020 · Fax (414) 456-6300
Fax(414) 456-6300
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1970
Enumeration DateMay 15, 2006
Last NPPES UpdateApril 12, 2016
NPI 1629029467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License Licensed in WI · 20742
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Also ListedOphthalmologyTaxonomy 207W00000X · License 20742 (WI)
925 N 87TH ST, Milwaukee, WI 53226

Other Identifiers 4

Medicaid1629029467WI
Medicare UPINB53425
Other002000119XHumana
Medicare PIN0219 73601WI

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. Gerald J Harris 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 ID9335277490
PECOS Enrollment IDI20100511000289
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 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.
113 services76 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.
56 services56 patients
Exam of visual field with limited testing 92081
An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.
29 services28 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 53226 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

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
925 N 87TH ST
MILWAUKEE, WI 53226
Ophthalmology
925 N 87TH ST
MILWAUKEE, WI 53226
Student in an Organized Health Care Education/Training Program
925 N 87TH ST
MILWAUKEE, WI 53226
Ophthalmology
925 N 87TH ST
MILWAUKEE, WI 53226
Ophthalmology
925 N 87TH ST
MILWAUKEE, WI 53226
Ophthalmology
925 N 87TH ST
MILWAUKEE, WI 53226
Optometrist
925 N 87TH ST
MILWAUKEE, WI 53226
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
925 N 87TH ST, THE EYE INSTITUTE
MILWAUKEE, WI 53226

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 Gerald Harris's NPI number?

The NPI number for Gerald Harris is 1629029467. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Gerald Harris located?

Gerald Harris practices at 925 N 87th St Med College Clinics At The Eye Inst, Milwaukee, WI 53226. The listed phone number is (414) 456-2020.

What is Gerald Harris's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Gerald Harris enrolled in Medicare?

Yes. Gerald Harris 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 Gerald Harris accept?

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

According to CMS data, Gerald Harris is affiliated with Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Gerald Harris was last updated on April 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.