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DR. ROSS IRA CLAIR OD
NPI 1942501770
Optometrist in Caledonia, WI

Active since November 10, 2010PECOS EnrolledAccepts Medicare Assignment
5333 DOUGLAS AVE, CALEDONIA, WI 53402(262) 752-2100 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2023, Dec 5, 2022 (2 updates tracked since 2022).

About Dr. Ross Ira Clair Od NPPES

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

DR. ROSS IRA CLAIR OD (NPI 1942501770) is an individual optometrist in Caledonia, Wisconsin, licensed in Wisconsin (3177035) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Brookfield, and is a graduate of New England College Of Optometry (2007).

NPPES Registry Identity

NPI1942501770
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ROSS IRA CLAIRCredential: OD
Location Address5333 DOUGLAS AVECaledonia, WI 53402-2032
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(262) 752-2100
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 2007
Enumeration DateNovember 10, 2010
Last NPPES UpdateFebruary 28, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2024
✔ NPI 1942501770 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 · 3177035
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.
5333 DOUGLAS AVE, Caledonia, WI 53402
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Secondary Practice Location 1

Location 117550 W Bluemound RdBrookfield, WI 53045-2928 · Phone (262) 784-3700

Other Identifiers 1

Medicaid100215187WI

Accepted Insurance

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

Dr. Ross Ira Clair 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 ID5597131839
PECOS Enrollment IDI20221012000830
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 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.
58 services51 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.
56 services56 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.
53 services53 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.
50 services50 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
14 services14 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).
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53402 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 8

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

DR. DAVID C ZABLOTNEY MD
Family Medicine
5333 DOUGLAS AVE
RACINE, WI 53402
Racine County (262) 752-2100
ADEL KHDOUR MD
Family Medicine
5333 DOUGLAS AVE
RACINE, WI 53402
Racine County (262) 752-2100
AURORA HEALTH CARE VENTURES, INC.
Eyewear Supplier
5333 DOUGLAS AVE
RACINE, WI 53402
Racine County (262) 752-2150
JULIE ANNE PIGNOTTI PA-C
Physician Assistant
5333 DOUGLAS AVE
CALEDONIA, WI 53402
Racine County (262) 752-2100
AURORA MEDICAL GROUP, INC.
Durable Medical Equipment & Medical Supplies
5333 DOUGLAS AVE
RACINE, WI 53402
Racine County (262) 752-2100
DR. DONNA R DAUFENBACH MD
Ophthalmology
5333 DOUGLAS AVE
RACINE, WI 53402
Racine County (262) 752-2100
DR. MARY E PAGANO MD
Internal Medicine
5333 DOUGLAS AVE
RACINE, WI 53402
Racine County (262) 752-2100
DR. SHALINI RAVI MD
Internal Medicine
5333 DOUGLAS AVE
RACINE, WI 53402
Racine County (262) 752-2100

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 Ross Clair's NPI number?

The NPI number for Ross Clair is 1942501770. It was assigned to this individual provider in the NPPES registry on November 10, 2010.

Where is Ross Clair located?

Ross Clair practices at 5333 Douglas Ave, Caledonia, WI 53402. The listed phone number is (262) 752-2100.

What is Ross Clair's specialty?

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

Is Ross Clair enrolled in Medicare?

Yes. Ross Clair 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 Ross Clair accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Ross Clair 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 Ross Clair was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.