GLENN E. GRAVES M.D.
NPI 1780671677
Ophthalmology - Glaucoma Specialist in Greenfield, WI

Active since October 05, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4600 W LOOMIS RD STE 310, GREENFIELD, WI 53220(414) 281-0963(414) 281-0959 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2024, Mar 5, 2019 (2 updates tracked since 2019).

About Glenn E. Graves M.d. NPPES

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

GLENN E. GRAVES M.D. (NPI 1780671677) is an individual glaucoma specialist in Greenfield, Wisconsin, licensed in Wisconsin (27890-020) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1780671677
Entity TypeIndividualMale
Primary Taxonomy207WX0009X
Provider Legal NameGLENN E. GRAVESCredential: M.D.
Location Address4600 W LOOMIS RD STE 310Greenfield, WI 53220-4858
Mailing Address6020 S Packard AveCudahy, WI 53110-3028 · (414) 294-4660 · Fax (414) 281-0959
Fax(414) 281-0959
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateOctober 5, 2005
Last NPPES UpdateApril 23, 20242 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
NPI 1780671677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Glaucoma SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0009X
License Licensed in WI · 27890-020
Definition
An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.
Also ListedOphthalmologyTaxonomy 207W00000X · License 27890-020 (WI)
4600 W LOOMIS RD STE 310, Greenfield, WI 53220

Other Identifiers 6

Other180020621WI · Rr Medicare
Other391484998011WI · Blue Cross
Other391484998CWI · Humana
Other0800065WI · Primecare
Other391484998WI · Tax Id
Medicaid31485900WI

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

Glenn E. Graves M.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 ID648167205
PECOS Enrollment IDI20100122000467
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 13

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.
421 services409 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.
273 services231 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.
271 services218 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).
136 services125 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.
135 services105 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
62 services52 patients

Hospital Affiliations CMS Care Compare

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53220 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 4

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
2 suppliers39 claims39 services$59.07 avg. paid by Medicare
Sphere, single vision, plano to plus or minus 4.00, per lens V2100
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers13 claims13 services$34.17 avg. paid by Medicare
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2103
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers22 claims30 services$30.22 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers14 claims28 services$44.53 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 5

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

Ophthalmology
4600 W LOOMIS RD STE 310
GREENFIELD, WI 53220
Ophthalmology (Cornea and External Diseases Specialist)
4600 W LOOMIS RD STE 310
GREENFIELD, WI 53220
Ophthalmology
4600 W LOOMIS RD STE 310
GREENFIELD, WI 53220
Ophthalmology
4600 W LOOMIS RD STE 310
GREENFIELD, WI 53220
Ophthalmology (Glaucoma Specialist)
4600 W LOOMIS RD STE 310
GREENFIELD, WI 53220

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 Glenn Graves's NPI number?

The NPI number for Glenn Graves is 1780671677. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is Glenn Graves located?

Glenn Graves practices at 4600 W Loomis Rd Ste 310, Greenfield, WI 53220. The listed phone number is (414) 281-0963.

What is Glenn Graves's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

Is Glenn Graves enrolled in Medicare?

Yes. Glenn Graves 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 Glenn Graves accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health, Quartz and UnitedHealthcare list Glenn Graves 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 Glenn Graves affiliated with any hospitals?

According to CMS data, Glenn Graves is affiliated with Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Glenn Graves was last updated on April 23, 2024. 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.