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DR. CHARLES J BURGESS OD
NPI 1699768333
Optometrist in Menasha, WI

Active since August 29, 2005PECOS EnrolledAccepts Medicare Assignment
1255 APPLETON RD, MENASHA, MENASHA, WI 54952(920) 722-6872(920) 722-6335 Get Directions Write a Review

NPPES record last updated: May 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Charles J Burgess Od NPPES

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

DR. CHARLES J BURGESS OD (NPI 1699768333) is an individual optometrist in Menasha, Wisconsin, licensed in Wisconsin (2676) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (1997).

NPPES Registry Identity

NPI1699768333
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. CHARLES J BURGESSCredential: OD
Location Address1255 APPLETON RD, MENASHAMenasha, WI 54952-1501
Mailing Address1255 Appleton Rd, MenashaMenasha, WI 54952-1501 · (920) 722-6872 · Fax (920) 722-6335
Phone(920) 722-6872
Fax(920) 722-6335
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 1997
Enumeration DateAugust 29, 2005
Last NPPES UpdateMay 8, 2008
✔ NPI 1699768333 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 · 2676
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.
1255 APPLETON RD, Menasha, WI 54952
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Other Identifiers 4

Medicare UPINU68008WI
Medicare ID-Type Unspecified71600 0002WI
Medicare NSC1219070001WI
Medicaid38601700WI

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 Montana, Blue Cross and Blue Shield of Oklahoma 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. Charles J Burgess 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 ID7810952561
PECOS Enrollment IDI20041202000983
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.

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.
1,799 services13 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.
154 services153 patients
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.
106 services106 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.
101 services76 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.
41 services37 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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54952 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 4

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

DR. NATHAN MICHAEL LARSON OD
Optometrist
1255 APPLETON RD
MENASHA, WI 54952
Calumet County (920) 722-6872
HEARING PROFESSIONALS OF AMERICA LLC
Hearing Aid Equipment
1255 APPLETON RD
MENASHA, WI 54952
Calumet County (888) 612-1267
DR. ANNETTE J WILDE OD
Optometrist
1255 APPLETON RD
MENASHA, WI 54952
Calumet County (920) 722-6872
COMMUNITY EYECARE INC
Optometrist
1255 APPLETON RD
MENASHA, WI 54952
Calumet County (920) 722-6872

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 Charles Burgess's NPI number?

The NPI number for Charles Burgess is 1699768333. It was assigned to this individual provider in the NPPES registry on August 29, 2005.

Where is Charles Burgess located?

Charles Burgess practices at 1255 Appleton Rd Menasha, Menasha, WI 54952. The listed phone number is (920) 722-6872.

What is Charles Burgess's specialty?

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

Is Charles Burgess enrolled in Medicare?

Yes. Charles Burgess 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 Charles Burgess accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and CareSource (Common Ground Healthcare) and 3 other insurers list Charles Burgess 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 Charles Burgess was last updated on May 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.