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Active NPI 1649235524 Individual Practitioner Male Practitioner

Dr. Dennis Raymond Soderberg , OD

Optometrist • Baldwin, WI

Professional Overview & Biography Verified Profile Summary

Dr. Dennis Soderberg, OD is a registered healthcare professional specializing in Optometrist in Baldwin, WI. Practice services are available at 1620 10TH AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1620 10th Ave

Baldwin, WI 540029033

Telephone 7156843310
Fax 7156844560
Associated Practice Facility / Clinic
🏢 Soderberg Eye Care Center Sc Facility NPI 1548371966

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Baldwin, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Baldwin, WI (1196 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
25.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
55 55 $118.00 $96.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
27 18 $64.00 $39.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
20 20 $132.00 $96.69

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WI 1396

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License MN 1549

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
38411800 (WI)
Commercial Insurance / Payer ID Compcare
391170106036 (WI)
Commercial Insurance / Payer ID Medica
22-12358
Commercial Insurance / Payer ID Bcbs
391170106028 (WI)
Commercial Insurance / Payer ID Preferred One
774002
Commercial Insurance / Payer ID Health Partners
795000
Commercial Insurance / Payer ID Claims Management
391170106044 (WI)
Commercial Insurance / Payer ID Bcbs
92530S0 (MN)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 1620 10TH AVE, BALDWIN, WI 540029033 (Tel: 7156843310)

📍
Updated Business Mailing Address July 09, 2007

Registered at 1620 10TH AVE, BALDWIN, WI 540029033 (Tel: 7156843310)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as DENNIS SODERBERG, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Optometrist (License #1396 in WI)

🟢
Initial NPI Registration & Enumeration April 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649235524
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2006
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

1620 10th Ave

Baldwin, WI 540029033

Phone: 7156843310

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.