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

Q: 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..

Q: What is Lisa Peterson'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 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.

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: October 25, 2026.

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

On this page

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 Aspirus Health Plan, Dean Health Plan, Group Health Cooperative-SCW 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

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.

Medicare Billing Reassignments

Medicare enrollment records show Lisa Peterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ho Chunk Nation

4.4 mi

Federally Qualified Health Center (FQHC)

S2845 WHITE EAGLE RD
Baraboo, WI 53913

Reassigned Medicare billing, Wisconsin enrollment
35 clinicians in this Medicare group

NPI 1316002694 (608) 355-1240

Vision Mart Inc

88 mi

Optician

12000 W CARMEN AVE
Milwaukee, WI 53225

Reassigned Medicare billing, Wisconsin enrollment
9 clinicians in this Medicare group

NPI 1366491227 (414) 462-1300

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

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.

Which organizations bill Medicare for Lisa Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Peterson reassigns Medicare benefits to 2 organizations: Ho Chunk Nation (Baraboo, WI) and Vision Mart Inc (Milwaukee, WI). Each 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 Lisa Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Peterson accept?

Health plans from Aspirus Health Plan, Dean Health Plan, 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.