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DAVID CARLI
NPI 1932762374
Ophthalmology in Wausau, WI

Active since April 22, 2019PECOS EnrolledAccepts Medicare Assignment
800 N 1ST ST, WAUSAU, WI 54403(715) 261-8500 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2024, Aug 9, 2023, Apr 22, 2019 (3 updates tracked since 2019).

About David Carli NPPES

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

DAVID CARLI (NPI 1932762374) is an individual ophthalmology provider in Wausau, Wisconsin, licensed in Wisconsin (81541) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2019).

NPPES Registry Identity

NPI1932762374
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDAVID CARLI
Location Address800 N 1ST STWausau, WI 54403-4754
Mailing Address800 N 1st StWausau, WI 54403-4754 · (715) 261-8500
Phone(715) 261-8500
Sole ProprietorYes
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2019
Enumeration DateApril 22, 2019
Last NPPES UpdateOctober 31, 20243 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
✔ NPI 1932762374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in WI · 81541✔ Licensed in IN · 02007182A
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
800 N 1ST ST, Wausau, WI 54403
Open in Google Maps ↗

Other Identifiers 2

Other81541WI · Medical License
Other02007182AIN · Indiana State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners 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

David Carli 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 ID3173981537
PECOS Enrollment IDI20240912001645
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 11

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 with low level od decision making, if using time, 20 minutes or more 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.
103 services78 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
70 services46 patients
Transplantation of outer layer of corneal tissue 65756
The transplantation of the outer layer of corneal tissue is a procedure to replace damaged or diseased corneal tissue with healthy tissue from a donor. This can improve vision and alleviate pain or discomfort.
68 services60 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
52 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.
45 services45 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Aspirus Riverview Hospital & Clinics Inc

Acute Care Hospitals · Wisconsin Rapids, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520033
Location410 Dewey StWisconsin Rapids, WI 54495 · Wood County
Emergency services

Aspirus Medford Hospital & Clinics, Inc

Critical Access Hospitals · Medford, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521324
Location135 S Gibson StMedford, WI 54451 · Taylor County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54403 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 20

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

DR. CHRISTOPHER J KUCHARSKI M.D.
Ophthalmology
800 N 1ST ST
WAUSAU, WI 54403
Marathon County (715) 261-8500
DR. THADDEUS J KROLICKI M.D.
Ophthalmology
800 N 1ST ST
WAUSAU, WI 54403
Marathon County (715) 261-8500
DEEPAK SAMBHARA M.D.
Ophthalmology
800 N 1ST ST
WAUSAU, WI 54403
Marathon County (715) 261-8500
THOMAS BOOSTROM CRNA
Nurse Anesthetist, Certified Registered
800 N 1ST ST
WAUSAU, WI 54403
Marathon County (715) 362-2600
DR. DANIEL T. STOEHR O.D.
Optometrist
800 N 1ST ST
WAUSAU, WI 54403
Marathon County (715) 261-8500
EC LASER AND SURGERY INSTITUTE OF WI, LLC
Clinic/Center (Ambulatory Surgical)
800 N 1ST ST, SUITE 100
WAUSAU, WI 54403
Marathon County (715) 261-8500
CHRISTIANA LOREDANA GANDY M.D.
Ophthalmology (Glaucoma Specialist)
800 N 1ST ST
WAUSAU, WI 54403
Marathon County (715) 261-8500
DR. LORI J FISH
Audiologist
800 N 1ST ST
WAUSAU, WI 54403
Marathon County (715) 261-8500

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 David Carli's NPI number?

The NPI number for David Carli is 1932762374. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Where is David Carli located?

David Carli practices at 800 N 1st St, Wausau, WI 54403. The listed phone number is (715) 261-8500.

What is David Carli's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is David Carli enrolled in Medicare?

Yes. David Carli 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 David Carli accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Medica and Security Health Plan list David Carli 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.

Is David Carli affiliated with any hospitals?

According to CMS data, David Carli is affiliated with Aspirus Wausau Hospital, Aspirus Riverview Hospital & Clinics Inc and Aspirus Medford Hospital & Clinics, Inc.

When was this NPI record last updated?

The NPPES record for David Carli was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.