MADELINE C ALMOND MD
NPI 1720098288
Ophthalmology in Green Bay, WI

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
77.33/100
CMS Quality Rating
2253 W MASON ST, GREEN BAY, WI 54303(920) 327-7000(920) 327-7005 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Madeline C Almond Md NPPES

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

MADELINE C ALMOND MD (NPI 1720098288) is an individual ophthalmology provider in Green Bay, Wisconsin, licensed in Wisconsin (54762-20) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2005).

NPPES Registry Identity

NPI1720098288
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameMADELINE C ALMONDCredential: MD
Location Address2253 W MASON STGreen Bay, WI 54303-4706
Mailing Address2119 Muirwood LnGreen Bay, WI 54313-4551 · Fax (920) 405-5388
Fax(920) 327-7005
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2005
Enumeration DateAugust 8, 2006
Last NPPES UpdateJuly 19, 2023
NPPES CertifiedJuly 19, 2023
✔ NPI 1720098288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in WI · 54762-20✔ Licensed in WA · ML20008474
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
2253 W MASON ST, Green Bay, WI 54303

Other Identifiers 1

Medicaid1720098288WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Madeline C Almond 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 ID3577619451
PECOS Enrollment IDI20101026001559
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Madeline Almond reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
2845 GREENBRIER RD
Green Bay, WI 54311
  • Reassigned Medicare billing, Wisconsin enrollment
  • 275 clinicians in this Medicare group
Optometrist
21 PARK PL
Appleton, WI 54914
  • Reassigned Medicare billing, Wisconsin enrollment
  • 32 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.
36 services15 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
20 services13 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
Quality76.22
Promoting Interoperability100
Improvement Activities40
Cost48.23

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.

Nurse Practitioner
2253 W MASON ST
GREEN BAY, WI 54303
Optometrist
2253 W MASON ST
GREEN BAY, WI 54303
Physical Therapist
2253 W MASON ST
GREEN BAY, WI 54303
Family Medicine
2253 W MASON ST
GREEN BAY, WI 54303
Family Medicine
2253 W MASON ST
GREEN BAY, WI 54303
Internal Medicine
2253 W MASON ST, SUITE 200
GREEN BAY, WI 54303
Emergency Medicine
2253 W MASON ST
GREEN BAY, WI 54303
Nurse Practitioner
2253 W MASON ST
GREEN BAY, WI 54303

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 Madeline Almond's NPI number?

The NPI number for Madeline Almond is 1720098288. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Madeline Almond located?

Madeline Almond practices at 2253 W Mason St, Green Bay, WI 54303. The listed phone number is (920) 327-7000.

What is Madeline Almond's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Madeline Almond enrolled in Medicare?

Yes. Madeline Almond 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.

Which organizations bill Medicare for Madeline Almond's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madeline Almond reassigns Medicare benefits to 2 organizations: Baycare Clinic LLP (Green Bay, WI) and Valley Eye Associates (Appleton, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Madeline Almond's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madeline Almond accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and CareSource (Common Ground Healthcare) and 5 other insurers list Madeline Almond 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 Madeline Almond was last updated on July 19, 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.