JESSICA L ENTRINGER DO
NPI 1861492126
Optometrist in Sheboygan, WI

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
1442 N 31ST ST, SHEBOYGAN, WI 53081(920) 452-1810 Get Directions Write a Review

NPPES record last updated: September 25, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica L Entringer Do NPPES

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

JESSICA L ENTRINGER DO (NPI 1861492126) is an individual optometrist in Sheboygan, Wisconsin, licensed in Wisconsin (2762-035) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1999).

NPPES Registry Identity

NPI1861492126
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJESSICA L ENTRINGERCredential: DO
Location Address1442 N 31ST STSheboygan, WI 53081-3061
Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1999
Enumeration DateJuly 28, 2005
Last NPPES UpdateSeptember 25, 2017
NPI 1861492126 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 · 2762-035
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.

1442 N 31ST ST, Sheboygan, WI 53081

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

Jessica L Entringer 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 ID5092769851
PECOS Enrollment IDI20050304000550
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 6

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, 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.
141 services132 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.
98 services69 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.
72 services72 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.
29 services28 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).
29 services27 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.
28 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

Audiologist
1442 N 31ST ST
SHEBOYGAN, WI 53081
Ophthalmology
1442 N 31ST ST
SHEBOYGAN, WI 53081
Eyewear Supplier
1442 N 31ST ST
SHEBOYGAN, WI 53081
Ophthalmology
1442 N 31ST ST
SHEBOYGAN, WI 53081
Ophthalmology
1442 N 31ST ST
SHEBOYGAN, WI 53081
Audiologist
1442 N 31ST ST
SHEBOYGAN, WI 53081
Audiologist-Hearing Aid Fitter
1442 N 31ST ST
SHEBOYGAN, WI 53081
Audiologist
1442 N 31ST ST
SHEBOYGAN, WI 53081

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 Jessica Entringer's NPI number?

The NPI number for Jessica Entringer is 1861492126. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Jessica Entringer located?

Jessica Entringer practices at 1442 N 31st St, Sheboygan, WI 53081. The listed phone number is (920) 452-1810.

What is Jessica Entringer's specialty?

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

Is Jessica Entringer enrolled in Medicare?

Yes. Jessica Entringer 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 Jessica Entringer accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Network Health and Security Health Plan list Jessica Entringer 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.

When was this NPI record last updated?

The NPPES record for Jessica Entringer was last updated on September 25, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.