NICOLE ANDERSON-WEISS M.D.
NPI 1790704120
Ophthalmology - Cornea and External Diseases Specialist in Madison, WI

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
75.63/100
CMS Quality Rating
1200 JOHN Q HAMMONS DR STE 100, MADISON, WI 53717(608) 827-7705(608) 827-6107 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Anderson-weiss M.d. NPPES

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

NICOLE ANDERSON-WEISS M.D. (NPI 1790704120) is an individual cornea and external diseases specialist in Madison, Wisconsin, licensed in Wisconsin (52421) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (1996).

NPPES Registry Identity

NPI1790704120
Entity TypeIndividualFemale
Primary Taxonomy207WX0120X
Provider Legal NameNICOLE ANDERSON-WEISSCredential: M.D.
Location Address1200 JOHN Q HAMMONS DR STE 100Madison, WI 53717-1967
Mailing Address1200 John Q Hammons Dr Ste 100Madison, WI 53717-1967 · (608) 827-7705 · Fax (608) 827-6107
Fax(608) 827-6107
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1996
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 28, 2023
NPPES CertifiedJuly 28, 2023
NPI 1790704120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmology · Cornea and External Diseases SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0120X
License Licensed in WI · 52421
Definition
An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.
1200 JOHN Q HAMMONS DR STE 100, Madison, WI 53717

Other Identifiers 2

Other17868MS · State License Number
Medicaid03209574MS

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

Nicole Anderson-weiss 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 ID2567400799
PECOS Enrollment IDI20090918000256
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 15

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.

Insertion of drug delivery implant into tear duct of eye 68841
This procedure involves placing a small implant into your tear duct. The implant slowly releases medication to your eye, helping manage conditions like dry eyes or glaucoma. It's a simple, quick procedure typically performed under local anesthesia.
315 services170 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.
314 services193 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.
267 services258 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.
258 services139 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.
159 services159 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.
135 services133 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53717 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.

75.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost18.77

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%54 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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
4 suppliers14 claims14 services$57.96 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 3

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

Optometrist
1200 JOHN Q HAMMONS DR STE 100
MADISON, WI 53717
Ophthalmology
1200 JOHN Q HAMMONS DR STE 100
MADISON, WI 53717
Optometrist
1200 JOHN Q HAMMONS DR STE 100
MADISON, WI 53717

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 Nicole Anderson-weiss's NPI number?

The NPI number for Nicole Anderson-weiss is 1790704120. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Nicole Anderson-weiss located?

Nicole Anderson-weiss practices at 1200 John Q Hammons Dr Ste 100, Madison, WI 53717. The listed phone number is (608) 827-7705.

What is Nicole Anderson-weiss's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Cornea and External Diseases Specialist, with taxonomy code 207WX0120X.

Is Nicole Anderson-weiss enrolled in Medicare?

Yes. Nicole Anderson-weiss 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 Nicole Anderson-weiss accept?

Health plans from Anthem Blue Cross and Blue Shield and Quartz list Nicole Anderson-weiss 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 Nicole Anderson-weiss was last updated on July 28, 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.