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CRAIG E SYLTE O.D.
NPI 1770712903
Optometrist in New London, WI

Active since July 09, 2009PECOS EnrolledAccepts Medicare Assignment
85.53/100
CMS Quality Rating
105 NORTHRIDGE DR, NEW LONDON, WI 54961(920) 982-3711 Get Directions Write a Review

NPPES record last updated: July 9, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Craig E Sylte O.d. NPPES

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

CRAIG E SYLTE O.D. (NPI 1770712903) is an individual optometrist in New London, Wisconsin, licensed in Wisconsin (3155-35) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2009).

NPPES Registry Identity

NPI1770712903
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameCRAIG E SYLTECredential: O.D.
Location Address105 NORTHRIDGE DRNew London, WI 54961-2703
Mailing Address105 Northridge DrNew London, WI 54961-2703
Phone(920) 982-3711
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2009
Enumeration DateJuly 9, 2009
✔ NPI 1770712903 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 · 3155-35
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.
105 NORTHRIDGE DR, New London, WI 54961
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Craig E Sylte 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 ID4688729833
PECOS Enrollment IDI20090911000394
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 10

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.
1,440 services11 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.
162 services162 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.
53 services40 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
27 services21 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.
26 services20 patients
Extended exam involving color vision testing 92283
An extended exam involving color vision testing helps identify any difficulties in distinguishing colors, often due to genetic conditions or health problems. This non-invasive test involves identifying different colored numbers or patterns.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54961 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.

85.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.74
Improvement Activities40

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.

DR. KERRY LEE GRIEBENOW O.D.
Optometrist (Corneal and Contact Management)
105 NORTHRIDGE DR
NEW LONDON, WI 54961
Waupaca County (920) 982-3711
DR. MICHAEL JAMES LAWTON DDS
Dentist
105 NORTHRIDGE DR
NEW LONDON, WI 54961
Waupaca County (920) 982-3567
MOLLY BENCK OD
Optometrist
105 NORTHRIDGE DR
NEW LONDON, WI 54961
Waupaca County (920) 982-3711

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 Craig Sylte's NPI number?

The NPI number for Craig Sylte is 1770712903. It was assigned to this individual provider in the NPPES registry on July 9, 2009.

Where is Craig Sylte located?

Craig Sylte practices at 105 Northridge Dr, New London, WI 54961. The listed phone number is (920) 982-3711.

What is Craig Sylte's specialty?

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

Is Craig Sylte enrolled in Medicare?

Yes. Craig Sylte 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 Craig Sylte 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 HealthPartners and 4 other insurers list Craig Sylte 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 Craig Sylte was last updated on July 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.