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MR. PATRICK B SESSO OD
NPI 1912070939
Optometrist in Sheboygan, WI

Active since November 16, 2006PECOS EnrolledAccepts Medicare Assignment
2229 S MEMORIAL PL, SHEBOYGAN, WI 53081(920) 458-9301(262) 923-7633 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Patrick B Sesso Od NPPES

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

MR. PATRICK B SESSO OD (NPI 1912070939) is an individual optometrist in Sheboygan, Wisconsin, licensed in Wisconsin (3586) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Schaumburg, and is a graduate of Indiana University - School Of Optometry (1978).

NPPES Registry Identity

NPI1912070939
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. PATRICK B SESSOCredential: OD
Location Address2229 S MEMORIAL PLSheboygan, WI 53081-3715
Mailing Address16800 W Cleveland AveNew Berlin, WI 53151-3533 · (262) 432-2005 · Fax (262) 432-2006
Phone(920) 458-9301
Fax(262) 923-7633
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 1978
Enumeration DateNovember 16, 2006
Last NPPES UpdateSeptember 9, 2025
NPPES CertifiedSeptember 9, 2025
✔ NPI 1912070939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in WI · 3586✔ Licensed in IL · 046-007328
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.

Secondary Practice Location 1

Location 11839 W Irving Park RoadSchaumburg, IL 60193 · Phone (847) 891-9096 · Fax (847) 891-9096

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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

Mr. Patrick B Sesso Od 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 ID3971590654
PECOS Enrollment IDI20090309000049, I20200215000081
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 2

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
26 services26 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services14 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.

Other Providers at the Same Location NPPES 3

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

DR. JOSEPH DEVAN WILSON OD
Optometrist
2229 S MEMORIAL PL
SHEBOYGAN, WI 53081
Sheboygan County (920) 458-9301
WISCONSIN VISION, LLC
Optometrist
2229 S MEMORIAL PL
SHEBOYGAN, WI 53081
Sheboygan County (920) 458-9301
MR. STEVEN J NELSEN OD
Optometrist
2229 S MEMORIAL PL
SHEBOYGAN, WI 53081
Sheboygan County (920) 458-9301

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 Patrick Sesso's NPI number?

The NPI number for Patrick Sesso is 1912070939. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Patrick Sesso located?

Patrick Sesso practices at 2229 S Memorial Pl, Sheboygan, WI 53081. The listed phone number is (920) 458-9301.

What is Patrick Sesso's specialty?

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

Is Patrick Sesso enrolled in Medicare?

Yes. Patrick Sesso 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 Patrick Sesso accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 8 other insurers list Patrick Sesso 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 Patrick Sesso was last updated on September 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.