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JULIE A THUMS O.D.
NPI 1760469951
Optometrist in Medford, WI

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment
94.31/100
CMS Quality Rating
309 E BROADWAY AVE, MEDFORD, WI 54451(715) 748-2020(715) 748-4565 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, May 9, 2019 (2 updates tracked since 2019).

About Julie A Thums O.d. NPPES

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

JULIE A THUMS O.D. (NPI 1760469951) is an individual optometrist in Medford, Wisconsin, licensed in Wisconsin (2978) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Colby, and is a graduate of Ohio State University - College Of Optometry (2004).

NPPES Registry Identity

NPI1760469951
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJULIE A THUMSCredential: O.D.
Location Address309 E BROADWAY AVEMedford, WI 54451-1835
Mailing Address309 E Broadway Ave, P.o. Box 547Medford, WI 54451-1835 · (715) 748-2020 · Fax (715) 748-4565
Phone(715) 748-2020
Fax(715) 748-4565
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 2004
Enumeration DateDecember 28, 2005
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1760469951 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 · 2978
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.
309 E BROADWAY AVE, Medford, WI 54451
Open in Google Maps ↗

Secondary Practice Location 1

Location 1120 Dehne Dr Ste GColby, WI 54421-9589 · Phone (715) 223-4003 · Fax (715) 223-4417

Other Identifiers 15

Other0474980001WI · Dmerc-medford Group
Other1271670001WI · Dmerc-colby Group
Medicaid38715300WI
Other391229699015WI · Blue Cross Blue Shield-me
Other410031756WI · Railroad Medicare-medford
Other92053WI · Security Health Plan-medf
Other39-1229699WI · Federal Tax Id-medford
Other39-1967186WI · Federal Tax Id-colby
Other391967186019WI · Blue Cross Blue Shield-co
Other410045064WI · Railroad Medicare-colby
Other10445WI · Nva-medford Group
Medicaid38623300WI
Medicaid38715100WI
Other92054WI · Security Health Plan-colb
Other2978WI · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Security Health Plan.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

Julie A Thums O.d. 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 ID8022082387
PECOS Enrollment IDI20040823000815
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 9

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.
2,047 services17 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.
165 services164 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.
72 services54 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.
70 services55 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.
66 services51 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.
49 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54451 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.

94.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.63
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier15 claims15 services$60.32 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier18 claims31 services$51.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JEFFERY R BOURGERIE O.D.
Optometrist
309 E BROADWAY AVE
MEDFORD, WI 54451
Taylor County (715) 748-2020
BEYOND 20-20 VISION THERAPY LLC
Optometrist
309 E BROADWAY AVE
MEDFORD, WI 54451
Taylor County (715) 748-2020
EYE CLINIC OF WISCONSIN, S.C.
Ophthalmology
309 E BROADWAY AVE
MEDFORD, WI 54451
Taylor County (715) 748-5775
PERRY A ARNDT O.D.
Optometrist
309 E BROADWAY AVE
MEDFORD, WI 54451
Taylor County (715) 748-2020

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 Julie Thums's NPI number?

The NPI number for Julie Thums is 1760469951. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Julie Thums located?

Julie Thums practices at 309 E Broadway Ave, Medford, WI 54451. The listed phone number is (715) 748-2020.

What is Julie Thums's specialty?

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

Is Julie Thums enrolled in Medicare?

Yes. Julie Thums 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 Julie Thums accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Security Health Plan list Julie Thums 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 Julie Thums 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.