NICHOLAS KONWINSKI
NPI 1730616129
Optometrist in Eau Claire, WI

Active since May 16, 2017PECOS EnrolledAccepts Medicare Assignment
85.83/100
CMS Quality Rating
955 W CLAIREMONT AVE, EAU CLAIRE, WI 54701(715) 832-7723 Get Directions Write a Review

NPPES record last updated: June 7, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 7, 2017, May 16, 2017 (2 updates tracked since 2017).

About Nicholas Konwinski NPPES

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

NICHOLAS KONWINSKI (NPI 1730616129) is an individual optometrist in Eau Claire, Wisconsin, licensed in Wisconsin (3458-35) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2017).

NPPES Registry Identity

NPI1730616129
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameNICHOLAS KONWINSKI
Location Address955 W CLAIREMONT AVEEau Claire, WI 54701-6103
Mailing Address3973 180th StChippewa Falls, WI 54729-9165 · (715) 828-7476
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2017
Enumeration DateMay 16, 2017
Last NPPES UpdateJune 7, 20172 updates tracked since enumeration
NPI 1730616129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in WI · 3458-35
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.
955 W CLAIREMONT AVE, Eau Claire, WI 54701

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

Nicholas Konwinski 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 ID840561999
PECOS Enrollment IDI20170808000872
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 6

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.
404 services397 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.
118 services75 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.
113 services94 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).
108 services106 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
58 services58 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.
22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54701 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.

85.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.5
Improvement Activities40
Cost69.44

Other Providers at the Same Location NPPES 3

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

Pharmacist
955 W CLAIREMONT AVE
EAU CLAIRE, WI 54701
Pharmacy (Community/Retail Pharmacy)
955 W CLAIREMONT AVE
EAU CLAIRE, WI 54701
Pharmacist
955 W CLAIREMONT AVE
EAU CLAIRE, WI 54701

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 Nicholas Konwinski's NPI number?

The NPI number for Nicholas Konwinski is 1730616129. It was assigned to this individual provider in the NPPES registry on May 16, 2017.

Where is Nicholas Konwinski located?

Nicholas Konwinski practices at 955 W Clairemont Ave, Eau Claire, WI 54701. The listed phone number is (715) 832-7723.

What is Nicholas Konwinski's specialty?

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

Is Nicholas Konwinski enrolled in Medicare?

Yes. Nicholas Konwinski 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 Nicholas Konwinski accept?

Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, HealthPartners, Medica and Providence Health Plan and 2 other insurers list Nicholas Konwinski 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 Nicholas Konwinski was last updated on June 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.