OMAR ABDELMEGID MD
NPI 1760943633
Ophthalmology in Beaver Dam, WI

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment
75.66/100
CMS Quality Rating
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916(920) 887-7181 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Omar Abdelmegid Md NPPES

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

OMAR ABDELMEGID MD (NPI 1760943633) is an individual ophthalmology provider in Beaver Dam, Wisconsin, licensed in Wisconsin (81489) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1760943633
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameOMAR ABDELMEGIDCredential: MD
Location Address707 S UNIVERSITY AVEBeaver Dam, WI 53916-3027
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 25, 2019
Last NPPES UpdateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
NPI 1760943633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in WI · 81489
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.
707 S UNIVERSITY AVE, Beaver Dam, WI 53916

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

Omar Abdelmegid 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 ID4688094931
PECOS Enrollment IDI20230920002057
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 17

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 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.
351 services302 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.
159 services75 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.
128 services97 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
110 services56 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
91 services25 patients
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.
83 services50 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Marshfield Medical Center - Beaver Dam (mmc-Bd)

Acute Care Hospitals · Beaver Dam, WI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520076
Location707 S University AveBeaver Dam, WI 53916 · Dodge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53916 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.

75.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.27
Promoting Interoperability99
Improvement Activities40
Cost50.45

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.

General Acute Care Hospital
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Physician Assistant
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Anesthesiology
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Physical Therapist
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Nurse Anesthetist, Certified Registered
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Internal Medicine
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Dietitian, Registered
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Nurse Anesthetist, Certified Registered
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916

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 Omar Abdelmegid's NPI number?

The NPI number for Omar Abdelmegid is 1760943633. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Omar Abdelmegid located?

Omar Abdelmegid practices at 707 S University Ave, Beaver Dam, WI 53916. The listed phone number is (920) 887-7181.

What is Omar Abdelmegid's specialty?

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

Is Omar Abdelmegid enrolled in Medicare?

Yes. Omar Abdelmegid 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 Omar Abdelmegid accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Network Health and Quartz and 2 other insurers list Omar Abdelmegid 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.

Is Omar Abdelmegid affiliated with any hospitals?

According to CMS data, Omar Abdelmegid is affiliated with Marshfield Medical Center and Marshfield Medical Center - Beaver Dam (mmc-Bd).

When was this NPI record last updated?

The NPPES record for Omar Abdelmegid was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.