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DR. LISA MARIE PETERSON O.D.
NPI 1881988244
Optometrist in Baraboo, WI

Active since June 02, 2011PECOS 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: November 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2020, Jan 18, 2016 (2 updates tracked since 2016).

About Dr. Lisa Marie Peterson O.d. NPPES

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

DR. LISA MARIE PETERSON O.D. (NPI 1881988244) is an individual optometrist in Baraboo, Wisconsin, licensed in Wisconsin (3215-035) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2010).

NPPES Registry Identity

NPI1881988244
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. LISA MARIE PETERSONCredential: O.D.
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 CMSOhio State University - College Of OptometryGraduated 2010
Enumeration DateJune 2, 2011
Last NPPES UpdateNovember 11, 20202 updates tracked since enumeration
NPPES CertifiedNovember 11, 2020
✔ NPI 1881988244 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 · 3215-035
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.
1626 TUTTLE ST STE 1, Baraboo, WI 53913
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Other Names 1

Former Name (1)Dr. Lisa Marie Pertz O.d.

Other Identifiers 1

Medicaid1881988244WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW, Providence Health Plan, Security Health Plan.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

Dr. Lisa Marie Peterson O.d. 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 ID1658541339
PECOS Enrollment IDI20110907001434
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 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.

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
8%39 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
80%51 patients4/55-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…
25%65 patients2/55-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
46%28 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers13 claims13 services$57.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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
GREGORY JAMES SOVINSKI
Ophthalmology
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 Lisa Peterson's NPI number?

The NPI number for Lisa Peterson is 1881988244. It was assigned to this individual provider in the NPPES registry on June 2, 2011. The provider is also known as Dr. Lisa Marie Pertz O.D..

Where is Lisa Peterson located?

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

What is Lisa Peterson's specialty?

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

Is Lisa Peterson enrolled in Medicare?

Yes. Lisa Peterson 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 Lisa Peterson accept?

Health plans from Group Health Cooperative-SCW, Providence Health Plan and Security Health Plan list Lisa Peterson 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 Lisa Peterson was last updated on November 11, 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.