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EDWARD KOUTNIK II O.D.
NPI 1952785578
Optometrist in Stoughton, WI

Active since July 14, 2015PECOS EnrolledAccepts Medicare Assignment
2300 US HIGHWAY 51 AND 138 STE E, STOUGHTON, WI 53589(608) 205-6810(608) 205-6813 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edward Koutnik Ii O.d. NPPES

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

EDWARD KOUTNIK II O.D. (NPI 1952785578) is an individual optometrist in Stoughton, Wisconsin, licensed in Wisconsin (3612-35) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2015).

NPPES Registry Identity

NPI1952785578
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameEDWARD KOUTNIK IICredential: O.D.
Location Address2300 US HIGHWAY 51 AND 138 STE EStoughton, WI 53589-2080
Mailing Address2300 Us Highway 51 And 138 Ste EStoughton, WI 53589-2080 · (608) 205-6810 · Fax (608) 205-6813
Phone(608) 205-6810
Fax(608) 205-6813
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2015
Enumeration DateJuly 14, 2015
Last NPPES UpdateJuly 23, 2024
NPPES CertifiedJuly 23, 2024
✔ NPI 1952785578 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 · 3612-35
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.
2300 US HIGHWAY 51 AND 138 STE E, Stoughton, WI 53589
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Edward Koutnik Ii 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 ID4284948522
PECOS Enrollment IDI20240619001584
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 12

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.

Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
140 services56 patients
Analysis of substance using immunoassay technique, multiple step method 83516
This procedure involves the use of an immunoassay, a highly sensitive technique, to detect and measure substances in your body. It involves multiple steps and is commonly used in diagnosing and monitoring various health conditions.
134 services58 patients
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.
55 services54 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.
39 services29 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
35 services33 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53589 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.

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 Edward Koutnik's NPI number?

The NPI number for Edward Koutnik is 1952785578. It was assigned to this individual provider in the NPPES registry on July 14, 2015.

Where is Edward Koutnik located?

Edward Koutnik practices at 2300 Us Highway 51 And 138 Ste E, Stoughton, WI 53589. The listed phone number is (608) 205-6810.

What is Edward Koutnik's specialty?

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

Is Edward Koutnik enrolled in Medicare?

Yes. Edward Koutnik 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 Edward Koutnik accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan and 1 other insurer list Edward Koutnik 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 Edward Koutnik was last updated on July 23, 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.