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DR. EARL WILLIAM NEPPLE MD
NPI 1942286190
Ophthalmology in West Bend, WI

Active since December 20, 2005PECOS Enrolled
1201 OAK STREET, WEST BEND, WI 53095(262) 338-0505(262) 338-0807 Get Directions Write a Review

NPPES record last updated: May 28, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Earl William Nepple Md NPPES

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

DR. EARL WILLIAM NEPPLE MD (NPI 1942286190) is an individual ophthalmology provider in West Bend, Wisconsin, licensed in Wisconsin (19896) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (1974).

NPPES Registry Identity

NPI1942286190
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. EARL WILLIAM NEPPLECredential: MD
Location Address1201 OAK STREETWest Bend, WI 53095
Mailing Address1201 Oak StreetWest Bend, WI 53095 · (262) 338-0505 · Fax (262) 338-0807
Phone(262) 338-0505
Fax(262) 338-0807
Sole ProprietorYes
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1974
Enumeration DateDecember 20, 2005
Last NPPES UpdateMay 28, 2010
✔ NPI 1942286190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in WI · 19896
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.
1201 OAK STREET, West Bend, WI 53095
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Other Identifiers 4

Medicaid30430500WI
Medicare PIN67019WI
Medicare NSC0935730001WI
Medicare UPINB55344

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Earl William Nepple Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012027345
PECOS Enrollment IDI20101029000757
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 with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
94 services92 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.
85 services84 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.
37 services26 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.
32 services29 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).
24 services24 patients
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.
19 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53095 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 4

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

OAKBROOK DENTAL GROUP SC
Dentist
1201 OAK STREET
WEST BEND, WI 53095
Washington County (262) 335-0822
DR. KRISTI L. TROUDT DMD
Dentist
1201 OAK STREET, OAKBROOK DENTAL GROUP SC
WEST BEND, WI 53095
Washington County (262) 335-0822
DR. CARL A MEYERS DMD
Dentist (General Practice)
1201 OAK STREET
WEST BEND, WI 53095
Washington County (262) 338-2303
DR. LINDA S SOPKOWICZ DDS
Dentist
1201 OAK STREET
WEST BEND, WI 53095
Washington County (262) 334-2959

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 Earl Nepple's NPI number?

The NPI number for Earl Nepple is 1942286190. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is Earl Nepple located?

Earl Nepple practices at 1201 Oak Street, West Bend, WI 53095. The listed phone number is (262) 338-0505.

What is Earl Nepple's specialty?

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

Is Earl Nepple enrolled in Medicare?

Yes. Earl Nepple is registered in the Medicare PECOS enrollment system.

What insurance does Earl Nepple accept?

Health plans from Providence Health Plan and UnitedHealthcare list Earl Nepple 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 Earl Nepple was last updated on May 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.