EFRAIN CANCEL MD
NPI 1972619419
Ophthalmology in La Crosse, WI

Q: What is Efrain Cancel's NPI number?

The NPI number for Efrain Cancel is 1972619419. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Q: What is Efrain Cancel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Efrain Cancel was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment

724 DENTON ST, LA CROSSE, WI 54601(608) 782-7300 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Efrain Cancel Md NPPES

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

EFRAIN CANCEL MD (NPI 1972619419) is an individual ophthalmology provider in La Crosse, Wisconsin, licensed in Wisconsin (32645) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Gundersen Lutheran Medical Center, and maintains a secondary practice location in Marshfield.

NPPES Registry Identity

NPI1972619419

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameEFRAIN CANCELCredential: MD

Location Address724 DENTON STLa Crosse, WI 54601-5447

Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300

Phone(608) 782-7300

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateAugust 21, 2006

Last NPPES UpdateAugust 9, 2022

NPPES CertifiedAugust 9, 2022

✔ NPI 1972619419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in WI · 32645

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.

724 DENTON ST, La Crosse, WI 54601

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Secondary Practice Location 1

Location 11000 N Oak AveMarshfield, WI 54449 · Phone (715) 221-7571

Other Identifiers 1

Medicaid31758000WI

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Efrain Cancel Md 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 ID7315089190

PECOS Enrollment IDI20100115000653

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.

Medicare Billing Reassignments

Medicare enrollment records show Efrain Cancel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gundersen Lutheran Medical Center, Inc

Same address

Clinic/Center

724 DENTON ST
La Crosse, WI 54601

Reassigned Medicare billing, Wisconsin enrollment
1,457 clinicians in this Medicare group

NPI 1497090138 (608) 782-7300

Gundersen Clinic Ltd

0.1 mi

Clinic/Center

1836 SOUTH AVE
La Crosse, WI 54601

Reassigned Medicare billing, Iowa enrollment
179 clinicians in this Medicare group

NPI 1851343115 (608) 782-7300

Veterans Memorial Hospital City Of Waukon Ia

38 mi

Rural Health

105 E MAIN ST
Waukon, IA 52172

Reassigned Medicare billing, Iowa enrollment
Also billed through NPI 1164599643 (Iowa)
89 clinicians in this Medicare group

NPI 1093306425 (563) 568-3411

Mchs Hospitals Inc

70 mi

Clinic/Center

2310 CRAIG RD
Eau Claire, WI 54701

Reassigned Medicare billing, Wisconsin enrollment
2,476 clinicians in this Medicare group

NPI 1316416035 (715) 858-8100

Marshfield Clinic Inc

80 mi

Clinic/Center

1000 N OAK AVE
Marshfield, WI 54449

Reassigned Medicare billing, Wisconsin enrollment
2,540 clinicians in this Medicare group

NPI 1952347981 (715) 387-5511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

210 services208 patients

Exam of visual field with intermediate testing 92082

An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.

206 services202 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.

117 services117 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.

105 services101 patients

Removal of excessive skin and fat of upper eyelid 15823

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

75 services75 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.

66 services59 patients

Repair of tendon of upper eyelid 67904

Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.

50 services50 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.

42 services42 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.

39 services35 patients

Incision biopsy, first skin growth 11106

An incision biopsy involves taking a small sample of a skin growth for further examination. A local anesthetic is used to numb the area, then a portion of the growth is removed using a surgical knife. This helps identify the nature of the growth.

20 services20 patients

Probing of nasal tear duct 68840

Probing of the nasal tear duct is a procedure to treat blocked tear ducts. A thin, flexible instrument is gently inserted into the tear duct to clear any obstruction, allowing tears to drain normally again. This procedure is typically quick and can help to alleviate symptoms like excessive tearing or infection.

19 services17 patients

Extensive repair of turning-outward eyelid defect 67917

This procedure corrects an eyelid defect where the eyelid turns outward, exposing the eye. The extensive repair involves surgical techniques to reshape the eyelid and ensure it functions properly. This helps protect the eye and improve comfort.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Gundersen Lutheran Medical Center

Acute Care Hospitals · La Crosse, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520087

Location1910 South AveLa Crosse, WI 54601 · La Crosse County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54601 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Polishing/resurfacing of ocular prosthesis V2624

Other-Vision, Hearing, and Speech Services · category OC000N

4 suppliers11 claims11 services$44.23 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

GUNDERSEN CLINIC, LTD.

Pharmacy (Clinic Pharmacy)