DR. ANDREW C LAVEY OD
NPI 1710953609
Optometrist in Sheboygan, WI

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
71.87/100
CMS Quality Rating
1442 N 31ST ST, SHEBOYGAN, WI 53081(920) 452-5400(920) 452-1920 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Andrew C Lavey Od NPPES

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

DR. ANDREW C LAVEY OD (NPI 1710953609) is an individual optometrist in Sheboygan, Wisconsin, licensed in Wisconsin (2707035) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (1998).

NPPES Registry Identity

NPI1710953609
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ANDREW C LAVEYCredential: OD
Location Address1442 N 31ST STSheboygan, WI 53081-3061
Mailing Address1442 N 31st StSheboygan, WI 53081-3061 · (920) 452-5400 · Fax (920) 452-1920
Fax(920) 452-1920
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 1998
Enumeration DateFebruary 28, 2006
Last NPPES UpdateMarch 7, 2023
NPPES CertifiedMarch 7, 2023
NPI 1710953609 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 · 2707035
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.
1442 N 31ST ST, Sheboygan, WI 53081

Other Identifiers 1

Medicaid30254400WI

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. Andrew C Lavey 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 ID8123072980
PECOS Enrollment IDI20050304000524
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 10

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.
433 services427 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.
134 services88 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.
98 services84 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.
79 services78 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).
66 services65 patients
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.
62 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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.

71.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.64
Promoting Interoperability50
Improvement Activities40
Cost49.26

Other Providers at the Same Location NPPES 15

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

Ophthalmology
1442 N 31ST ST
SHEBOYGAN, WI 53081
Optometrist
1442 N 31ST ST
SHEBOYGAN, WI 53081
Audiologist
1442 N 31ST ST
SHEBOYGAN, WI 53081
Eyewear Supplier
1442 N 31ST ST
SHEBOYGAN, WI 53081
Audiologist
1442 N 31ST ST
SHEBOYGAN, WI 53081
Audiologist-Hearing Aid Fitter
1442 N 31ST ST
SHEBOYGAN, WI 53081
Audiologist
1442 N 31ST ST
SHEBOYGAN, WI 53081
Ophthalmology
1442 N 31ST ST
SHEBOYGAN, WI 53081

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 Andrew Lavey's NPI number?

The NPI number for Andrew Lavey is 1710953609. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Andrew Lavey located?

Andrew Lavey practices at 1442 N 31st St, Sheboygan, WI 53081. The listed phone number is (920) 452-5400.

What is Andrew Lavey's specialty?

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

Is Andrew Lavey enrolled in Medicare?

Yes. Andrew Lavey 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 Andrew Lavey accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Network Health, Providence Health Plan and Quartz and 1 other insurer list Andrew Lavey 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 Andrew Lavey was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.