DR. GARY JOHN BURKHARDT O.D.
NPI 1861479412
Optometrist in Chilton, WI

Q: What is Gary Burkhardt's NPI number?

The NPI number for Gary Burkhardt is 1861479412. It was assigned to this individual provider in the NPPES registry on December 26, 2005.

Q: What is Gary Burkhardt's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Burkhardt was last updated on January 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 December 26, 2005PECOS Enrolled

19 W MAIN ST, CHILTON, WI 53014(920) 849-4291(920) 849-4292 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Gary John Burkhardt O.d. NPPES

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

DR. GARY JOHN BURKHARDT O.D. (NPI 1861479412) is an individual optometrist in Chilton, Wisconsin, licensed in Wisconsin (1989035) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861479412

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. GARY JOHN BURKHARDTCredential: O.D.

Location Address19 W MAIN STChilton, WI 53014-1323

Mailing Address19 W Main StChilton, WI 53014-1323 · (920) 849-4291 · Fax (920) 849-4292

Phone(920) 849-4291

Fax(920) 849-4292

Sole ProprietorYes

Enumeration DateDecember 26, 2005

Last NPPES UpdateJanuary 28, 2013

✔ NPI 1861479412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in WI · 1989035

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

19 W MAIN ST, Chilton, WI 53014

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Other Identifiers 4

Medicaid38588600WI

Medicare ID-Type Unspecified87992WI

Medicare NSC0632280001WI

Medicare UPINU30948WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gary John Burkhardt O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53014 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.

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 Gary Burkhardt's NPI number?

The NPI number for Gary Burkhardt is 1861479412. It was assigned to this individual provider in the NPPES registry on December 26, 2005.

Where is Gary Burkhardt located?

Gary Burkhardt practices at 19 W Main St, Chilton, WI 53014. The listed phone number is (920) 849-4291.

What is Gary Burkhardt's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Gary Burkhardt enrolled in Medicare?

Yes. Gary Burkhardt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gary Burkhardt was last updated on January 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.