GREGORY JAMES SOVINSKI
NPI 1841722451
Ophthalmology in Baraboo, WI

Q: 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.

Q: What is Gregory Sovinski's specialty?

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

Q: 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.

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 25, 2026.

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

On this page

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

Phone(608) 356-2020

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1626 TUTTLE ST STE 1, Baraboo, WI 53913

Open in Google Maps ↗

Other Identifiers 1

Medicaid1841722451WI

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 Louisiana, Blue Cross Blue Shield of Wyoming and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Gregory Sovinski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dean Health Systems, Inc

34 mi

Allergy & Immunology

1211 FISH HATCHERY RD
Madison, WI 53715

Reassigned Medicare billing, Wisconsin enrollment
1,377 clinicians in this Medicare group

NPI 1053358846 (608) 252-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

96 services79 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).

87 services79 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.

61 services57 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

55 services43 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

25 services24 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

11 services11 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.

DR. BLADE ARON GRUPE OD

Optometrist

1626 TUTTLE ST STE 1
BARABOO, WI 53913

Sauk County (608) 356-2020

DR. LISA MARIE PETERSON O.D.

Optometrist

1626 TUTTLE ST STE 1
BARABOO, WI 53913

Sauk County (608) 356-2020

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.

Which organization bills Medicare for Gregory Sovinski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Sovinski reassigns Medicare benefits to Dean Health Systems, Inc (Madison, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gregory Sovinski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregory Sovinski accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Dean Health Plan 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.