1. Home
  2. Directory
  3. Wisconsin
  4. Sturgeon Bay
  5. Optometrist
  6. NPI Profile

MARIAH LEIGH METOXEN OD
NPI 1982378352
Optometrist in Sturgeon Bay, WI

Active since August 09, 2021PECOS EnrolledAccepts Medicare Assignment
89.41/100
CMS Quality Rating
1532 MICHIGAN ST, STURGEON BAY, WI 54235(920) 265-0780 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mariah Leigh Metoxen Od NPPES

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

MARIAH LEIGH METOXEN OD (NPI 1982378352) is an individual optometrist in Sturgeon Bay, Wisconsin, licensed in Wisconsin (3703) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2021).

NPPES Registry Identity

NPI1982378352
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMARIAH LEIGH METOXENCredential: OD
Location Address1532 MICHIGAN STSturgeon Bay, WI 54235-1406
Mailing Address1532 Michigan StSturgeon Bay, WI 54235-1406
Phone(920) 265-0780
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2021
Enumeration DateAugust 9, 2021
NPPES CertifiedJune 10, 2021
✔ NPI 1982378352 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 · 3703
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.
1532 MICHIGAN ST, Sturgeon Bay, WI 54235
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), HealthPartners, Network Health 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

Mariah Leigh Metoxen 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 ID547665853
PECOS Enrollment IDI20210825001955
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 9

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
2,610 services18 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
1,620 services12 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.
225 services224 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.
51 services51 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.
33 services31 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).
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54235 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.82
Improvement Activities40

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 Mariah Metoxen's NPI number?

The NPI number for Mariah Metoxen is 1982378352. It was assigned to this individual provider in the NPPES registry on August 9, 2021.

Where is Mariah Metoxen located?

Mariah Metoxen practices at 1532 Michigan St, Sturgeon Bay, WI 54235. The listed phone number is (920) 265-0780.

What is Mariah Metoxen's specialty?

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

Is Mariah Metoxen enrolled in Medicare?

Yes. Mariah Metoxen 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 Mariah Metoxen accept?

Health plans from CareSource (Common Ground Healthcare), HealthPartners, Network Health and Security Health Plan list Mariah Metoxen 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 Mariah Metoxen was last updated on August 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.