NEDA ESMAILI M.D.
NPI 1790900363
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Milwaukee, WI

Active since April 17, 2007PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
925 N 87TH ST, MEDICAL COLLEGE EYE INSTITUTE, MILWAUKEE, WI 53226(414) 456-2020(414) 456-6300 Get Directions Write a Review

NPPES record last updated: April 12, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Neda Esmaili M.d. NPPES

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

NEDA ESMAILI M.D. (NPI 1790900363) is an individual ophthalmic plastic and reconstructive surgery provider in Milwaukee, Wisconsin, licensed in Wisconsin (55316) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and is a graduate of University Of Wisconsin School Of Medicine (2006).

NPPES Registry Identity

NPI1790900363
Entity TypeIndividualFemale
Primary Taxonomy207WX0200X
Provider Legal NameNEDA ESMAILICredential: M.D.
Location Address925 N 87TH ST, MEDICAL COLLEGE EYE INSTITUTEMilwaukee, WI 53226-4812
Mailing Address925 N 87th St, Medical College Eye InstituteMilwaukee, WI 53226-4812 · (414) 456-2020 · Fax (414) 456-6300
Fax(414) 456-6300
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2006
Enumeration DateApril 17, 2007
Last NPPES UpdateApril 12, 2016
NPI 1790900363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License Licensed in WI · 55316
Definition

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

Also ListedOphthalmologyTaxonomy 207W00000X · License 55316 (WI)
925 N 87TH ST, Milwaukee, WI 53226

Other Identifiers 3

Medicaid1790900363WI
Medicare PIN680860911WI
Medicare PIN736012150WI

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

Neda Esmaili 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 ID3274658703
PECOS Enrollment IDI20110630000377
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
34 services31 patients
Exam of visual field with limited testing 92081
An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.
28 services28 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
28 services20 patients
Repair of brow paralysis 67900
Repair of brow paralysis is a procedure aimed to restore function and symmetry to the face. This is achieved by adjusting muscles and nerves in the brow area. It can help improve the appearance and movement of the forehead and eyebrows, enhancing overall facial expressions.
19 services19 patients
New patient office or other outpatient visit, 45-59 minutes 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.
19 services19 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

Optometrist
925 N 87TH ST, MED COLLEGE CLINICS AT THE EYE INST
MILWAUKEE, WI 53226
Ophthalmology
925 N 87TH ST, DEPARTMENT OF OPHTHALMOLOGY
MILWAUKEE, WI 53226
Ophthalmology
925 N 87TH ST, THE EYE INSTITUTE
MILWAUKEE, WI 53226
Ophthalmology
925 N 87TH ST, THE EYE INSTITUTE
MILWAUKEE, WI 53226
Ophthalmology
925 N 87TH ST, THE EYE INSTITUTE
MILWAUKEE, WI 53226
Optometrist
925 N 87TH ST, THE EYE INSTITUTE
MILWAUKEE, WI 53226
Ophthalmology
925 N 87TH ST, THE EYE INSTITUTE
MILWAUKEE, WI 53226
Ophthalmology
925 N 87TH ST, THE EYE INSTITUTE
MILWAUKEE, WI 53226

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790900363, enumerated as an "individual" on April 17, 2007.

The provider is located at 925 N 87TH ST MEDICAL COLLEGE EYE INSTITUTE MILWAUKEE, WI 53226 and the phone number is (414) 456-2020.

Ophthalmology with taxonomy code 207WX0200X and a focus in Ophthalmic Plastic and Reconstructive Surgery.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to verify.

Neda Esmaili is affiliated with: FROEDTERT MEMORIAL LUTHERAN HOSPITAL.