GREGORY JAMES SOVINSKI
NPI 1841722451
Ophthalmology in Baraboo, WI

Active since April 02, 2017PECOS EnrolledAccepts Medicare Assignment
1626 TUTTLE ST STE 1, BARABOO, WI 53913(608) 356-2020(608) 355-7055 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 27, 2021, Apr 2, 2017 (2 updates tracked since 2017).

About Gregory James Sovinski NPPES

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

GREGORY JAMES SOVINSKI (NPI 1841722451) is an individual ophthalmology provider in Baraboo, Wisconsin, licensed in Wisconsin (74760-20) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Clare Hospital - Baraboo, and is a graduate of University Of Wisconsin School Of Medicine (2017).

NPPES Registry Identity

NPI1841722451
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameGREGORY JAMES SOVINSKI
Location Address1626 TUTTLE ST STE 1Baraboo, WI 53913-1501
Mailing Address1626 Tuttle St Ste 1Baraboo, WI 53913-1501 · (608) 356-2020 · Fax (608) 355-7055
Fax(608) 355-7055
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2017
Enumeration DateApril 2, 2017
Last NPPES UpdateJuly 27, 20212 updates tracked since enumeration
NPPES CertifiedJuly 27, 2021
✔ NPI 1841722451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in WI · 74760-20
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.
1626 TUTTLE ST STE 1, Baraboo, WI 53913

Other Identifiers 1

Medicaid1841722451WI

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

Gregory James Sovinski 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 ID7113278953
PECOS Enrollment IDI20210811001554
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 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.
291 services258 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.
257 services257 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.
251 services169 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.
191 services128 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.
165 services114 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.
106 services93 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Clare Hospital - Baraboo

Acute Care Hospitals · Baraboo, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520057
Location707 14th StBaraboo, WI 53913 · Sauk County
Emergency services Birthing friendly

Sauk Prairie Hospital

Acute Care Hospitals · Prairie Du Sac, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520095
Location260 26th StreetPrairie Du Sac, WI 53578 · Sauk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53913 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.

Other Providers at the Same Location NPPES 2

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

Optometrist
1626 TUTTLE ST STE 1
BARABOO, WI 53913
Optometrist
1626 TUTTLE ST STE 1
BARABOO, WI 53913

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 Gregory Sovinski's NPI number?

The NPI number for Gregory Sovinski is 1841722451. It was assigned to this individual provider in the NPPES registry on April 2, 2017.

Where is Gregory Sovinski located?

Gregory Sovinski practices at 1626 Tuttle St Ste 1, Baraboo, WI 53913. The listed phone number is (608) 356-2020.

What is Gregory Sovinski's specialty?

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

Is Gregory Sovinski enrolled in Medicare?

Yes. Gregory Sovinski 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 Gregory Sovinski accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana and Providence Health Plan list Gregory Sovinski 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 Gregory Sovinski affiliated with any hospitals?

According to CMS data, Gregory Sovinski is affiliated with Ssm Health St Clare Hospital - Baraboo and Sauk Prairie Hospital.

When was this NPI record last updated?

The NPPES record for Gregory Sovinski was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.