Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OMAR ABDELMEGID MD
NPI 1760943633
Ophthalmology in Kenosha, WI

Q: 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.

Q: What is Omar Abdelmegid's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Omar Abdelmegid was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment

75.66/100

CMS Quality Rating

6815 118TH AVE, KENOSHA, WI 53142(262) 857-5600 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2026, Jul 9, 2020 (2 updates tracked since 2020).

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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 Kenosha, 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 maintains 2 additional practice locations.

NPPES Registry Identity

NPI1760943633

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameOMAR ABDELMEGIDCredential: MD

Location Address6815 118TH AVEKenosha, WI 53142-8420

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(262) 857-5600

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 25, 2019

Last NPPES UpdateSeptember 8, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2026

✔ 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.

6815 118TH AVE, Kenosha, WI 53142

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Secondary Practice Locations 2

Location 1281 Lincoln StreetWorcester, MA 01605 · Phone (508) 334-3040

Location 2707 S University AveBeaver Dam, WI 53916-3027 · Phone (920) 887-7181

Other Identifiers 1

Medicaid100249642WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

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.

Medicare Billing Reassignments

Medicare enrollment records show Omar Abdelmegid reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aurora Medical Group, Inc.

29 mi

Nurse Anesthetist, Certified Registered

3301 W FOREST HOME AVE
Milwaukee, WI 53215

Reassigned Medicare billing, Wisconsin enrollment
4,609 clinicians in this Medicare group

NPI 1427271378 (877) 576-3544

Beaver Dam Community Hospitals Inc

69 mi

Family Medicine

420 W NORTH ST
Juneau, WI 53039

Reassigned Medicare billing, Wisconsin enrollment
1,447 clinicians in this Medicare group

NPI 1831410521 (920) 386-8101

Mchs Hospitals, Inc.

152 mi

Mental Health (Including Community Mental Health Center)

2450 VINEYARD DR
Plover, WI 54467

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1952890873 (Wisconsin)
2,476 clinicians in this Medicare group

NPI 1386249894 (715) 342-0290

Marshfield Clinic Inc

183 mi

Clinic/Center

1000 N OAK AVE
Marshfield, WI 54449

Reassigned Medicare billing, Wisconsin enrollment
2,540 clinicians in this Medicare group

NPI 1952347981 (715) 387-5511

Memorial Hospital, Inc

191 mi

Clinical Medical Laboratory

216 SUNSET PL, MEMORIAL HOSPITAL, INC
Neillsville, WI 54456

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1346239373 (Wisconsin)
1,283 clinicians in this Medicare group

NPI 1679746747 (715) 743-3101

Flambeau Hospital Inc

263 mi

Clinic/Center

98 SHERRY AVE
Park Falls, WI 54552

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1700963048 (Wisconsin)
1,351 clinicians in this Medicare group

NPI 1194317966 (715) 762-2484

Lakeview Medical Center Inc Of Rice Lake

264 mi

Clinic/Center

806 2ND ST
Chetek, WI 54728

Reassigned Medicare billing, Wisconsin enrollment
1,616 clinicians in this Medicare group

NPI 1659008605 (715) 924-2000

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 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

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.

80 services68 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).

79 services72 patients

Injection, bevacizumab, 10 mg J9035

Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.

76 services22 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

37 services37 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.

32 services31 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.

23 services19 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

19 services12 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

14 services14 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

13 services13 patients

Removal of growth of eyelid 67840

The removal of an eyelid growth is a procedure performed to eliminate abnormal tissue from your eyelid. It's generally a quick, outpatient treatment. The doctor numbs your eyelid, carefully removes the growth, and may stitch the area if necessary. This can help maintain eye health and vision.

11 services11 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

11 services11 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 53142 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

Quality

69.27

Promoting Interoperability

Improvement Activities

Cost

50.45

Other Providers at the Same Location NPPES 8

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

ALEXANDRA LELCHUK MD

Pain Medicine (Interventional Pain Medicine)

6815 118TH AVE
KENOSHA, WI 53142

Kenosha County (262) 857-5600

DR. MARY F SCHROEDER-CAPELLI MD

Ophthalmology

6815 118TH AVE
KENOSHA, WI 53142

Kenosha County (262) 857-5600

AURORA HEALTH CARE VENTURES INC

Eyewear Supplier

6815 118TH AVE, SUITE 125
KENOSHA, WI 53142

Kenosha County (262) 948-7035

DR. JOHN ALEXANDER JENNINGS O.D.

Optometrist

6815 118TH AVE
KENOSHA, WI 53142

Kenosha County (262) 857-5600

DR. ESTIL STRAWN MD

Obstetrics & Gynecology (Reproductive Endocrinology)

6815 118TH AVE
KENOSHA, WI 53142

Kenosha County (262) 857-5600

SABA J KADLEC MD

Ophthalmology

6815 118TH AVE
KENOSHA, WI 53142

Kenosha County (262) 857-5600

KENNETH GERARD GILBERTSON II M.D.

Dermatology

6815 118TH AVE
KENOSHA, WI 53142

Kenosha County (262) 857-5600

LIN CHEN MD, PHD

Ophthalmology

6815 118TH AVE
KENOSHA, WI 53142

Kenosha County (262) 857-5600

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 6815 118th Ave, Kenosha, WI 53142. The listed phone number is (262) 857-5600.

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.

Which organizations bill Medicare for Omar Abdelmegid's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omar Abdelmegid reassigns Medicare benefits to 7 organizations: Aurora Medical Group, Inc. (Milwaukee, WI), Beaver Dam Community Hospitals Inc (Juneau, WI), Mchs Hospitals, Inc. (Plover, WI), Marshfield Clinic Inc (Marshfield, WI), Memorial Hospital, Inc (Neillsville, WI) and 2 more organizations, listed in the Medicare section above. 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 Omar Abdelmegid's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omar Abdelmegid accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Quartz and 1 other insurer 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 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.