JULIA AGAPOV DO
NPI 1861428153
Ophthalmology in Madison, WI

Active since June 25, 2006PECOS EnrolledAccepts Medicare Assignment
1025 REGENT ST, MADISON, WI 53715(608) 282-2000(608) 282-2172 Get Directions Write a Review

NPPES record last updated: December 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Julia Agapov Do NPPES

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

JULIA AGAPOV DO (NPI 1861428153) is an individual ophthalmology provider in Madison, Wisconsin, licensed in Wisconsin (50769-021) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Clare Hospital - Baraboo, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2002).

NPPES Registry Identity

NPI1861428153
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameJULIA AGAPOVCredential: DO
Location Address1025 REGENT STMadison, WI 53715-1248
Mailing Address1025 Regent StMadison, WI 53715-1248 · (608) 282-2000 · Fax (608) 282-2172
Fax(608) 282-2172
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2002
Enumeration DateJune 25, 2006
Last NPPES UpdateDecember 17, 2020
NPPES CertifiedDecember 17, 2020
NPI 1861428153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in WI · 50769-021
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.
1025 REGENT ST, Madison, WI 53715

Other Names 1

Former Name (1)Yuliya Balayeva Md

Other Identifiers 1

Medicaid1861428153WI

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

Julia Agapov Do 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 ID8426055765
PECOS Enrollment IDI20070831000583
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 19

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.
410 services294 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.
379 services325 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.
365 services200 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.
289 services220 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.
256 services154 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).
248 services243 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
23%197 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
53%382 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
14%398 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
43%187 patients2/55-star benchmark: 98%
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.

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.

Ophthalmology
1025 REGENT ST
MADISON, WI 53715
Ophthalmology
1025 REGENT ST
MADISON, WI 53715
Anesthesiology
1025 REGENT ST, DAVIS DUEHR DEAN MEDICAL CENTER
MADISON, WI 53715
Optometrist
1025 REGENT ST
MADISON, WI 53715
Registered Nurse (Ophthalmic)
1025 REGENT ST
MADISON, WI 53715
Anesthesiology
1025 REGENT ST, DAVIS DUEHR DEAN MEDICAL CENTER
MADISON, WI 53715
Ophthalmology
1025 REGENT ST
MADISON, WI 53715
Optometrist
1025 REGENT ST, DAVIS DUEHR DEAN/DEAN MEDICAL CENTER
MADISON, WI 53715

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 Julia Agapov's NPI number?

The NPI number for Julia Agapov is 1861428153. It was assigned to this individual provider in the NPPES registry on June 25, 2006. The provider is also known as Yuliya Balayeva MD.

Where is Julia Agapov located?

Julia Agapov practices at 1025 Regent St, Madison, WI 53715. The listed phone number is (608) 282-2000.

What is Julia Agapov's specialty?

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

Is Julia Agapov enrolled in Medicare?

Yes. Julia Agapov 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 Julia Agapov accept?

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

According to CMS data, Julia Agapov is affiliated with Ssm Health St Clare Hospital - Baraboo.

When was this NPI record last updated?

The NPPES record for Julia Agapov was last updated on December 17, 2020. 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.