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Active NPI 1831170141 Individual Practitioner Male Practitioner

Dr. Stuart A Kosikowski , OD

Optometrist • Fond Du Lac, WI

Professional Overview & Biography Verified Profile Summary

Dr. Stuart Kosikowski, OD is a registered healthcare professional specializing in Optometrist in Fond Du Lac, WI. Practice services are available at 421 CAMELOT DR under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

421 Camelot Dr

Fond Du Lac, WI 549354560

Telephone 9209268472
Associated Practice Facility / Clinic
🏢 Agnesian Healthcare Inc Facility NPI 1083676217

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Fond Du Lac, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.9 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Fond Du Lac, WI (1196 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.0% 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 (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
64 63 $298.00 $119.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
32 24 $169.00 $52.99
99213 Established patient office or other outpatient visit, typically 15 minutes
15 15 $249.00 $85.33

Medical Specialties & State Licenses

CMS Verified: 2020-11-17
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WI 2012

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
38525900 (WI)
Commercial Insurance / Payer ID John Deere
WI01J4 (WI)
Commercial Insurance / Payer ID Dean
12565 (WI)
Commercial Insurance / Payer ID Railroad Medicare
410029533 (WI)
Commercial Insurance / Payer ID Unity
39080723646 (WI)
Commercial Insurance / Payer ID Touchpoint
501574 (WV)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1144458415

Doctor of Optometry

NPI 1245213560

Doctor of Medicine (M.D.)

Dr. Bryce Aul , MD

Ophthalmology

NPI 1275020836

Doctor of Medicine (M.D.)

NPI 1447365960

Doctor of Medicine (M.D.)

NPI 1477083608

Doctor of Optometry

NPI 1578554234

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location June 18, 2019

Registered at 421 CAMELOT DR, FOND DU LAC, WI 549354560 (Tel: 9209268472)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 420 E DIVISION ST, FOND DU LAC, WI 549354560 (Tel: 9209268472)

📍
Updated Business Mailing Address July 08, 2007

Registered at 420 E DIVISION ST, FOND DU LAC, WI 549354560 (Tel: 9209268340)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STUART KOSIKOWSKI, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #2012 in WI)

🟢
Initial NPI Registration & Enumeration November 14, 2005

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: 1831170141
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2005
Last Update: November 18, 2020
Sole Proprietor: No

Mailing Address

420 E Division St

Fond Du Lac, WI 549354560

Phone: 9209268472

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.