Active NPI 1972619419 Individual Practitioner Male Practitioner

Dr. Efrain Cancel , MD

Ophthalmology • La Crosse, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Efrain Cancel, MD is a certified Ophthalmology practicing in La Crosse, WI. With approximately 41 years of clinical experience since completing medical education in 1985, Dr. Cancel delivers high-quality medical care to the local community at 724 DENTON ST.

Dr. Cancel is affiliated with Gundersen Lutheran Medical Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of content of eyes, exam of visual field with intermediate testing, 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

724 Denton St

La Crosse, WI 546015447

Telephone 6087827300

Associated Practice Facility / Clinic

🏢 Gundersen Clinic, Ltd. Facility NPI 1164433660

Medicare Profile & Education

Medical School

Other

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in La Crosse, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +20.7 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 25.3 Yrs

Regional Practice Density

25 Specialists

Practicing in La Crosse, WI (464 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

90.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cancel (41 Years) 41 Yrs

La Crosse Specialty Average (20.3 Years) 20.3 Yrs

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
92285 Photography of content of eyes	210	208	$52.76	$2.68
92082 Exam of visual field with intermediate testing	206	202	$75.97	$19.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	117	117	$263.44	$75.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	101	$270.17	$90.01
15823 Removal of excessive skin and fat of upper eyelid	75	75	$9412.85	$765.82
99213 Established patient office or other outpatient visit, typically 15 minutes	66	59	$141.33	$60.91
67904 Repair of tendon of upper eyelid	50	50	$9901.00	$790.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$478.86	$122.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	35	$42.67	$31.76
11106 Incision biopsy, first skin growth	20	20	$210.80	$49.74
68840 Probing of nasal-tear duct	19	17	$666.84	$143.90
67917 Extensive repair of turning-outward eyelid defect	13	13	$7913.54	$532.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92285 Photography of content of eyes	190	186	$49.41	$2.77
92082 Exam of visual field with intermediate testing	182	177	$70.66	$20.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$258.48	$78.08
15823 Removal of excessive skin and fat of upper eyelid	72	72	$8776.17	$790.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	60	60	$374.83	$134.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	50	$257.34	$93.14
99213 Established patient office or other outpatient visit, typically 15 minutes	51	50	$142.31	$62.96
67904 Repair of tendon of upper eyelid	39	39	$9386.82	$817.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	32	$52.74	$28.67
92136 Measurement of corneal curvature and depth of eye	30	23	$263.73	$36.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$449.91	$126.47
67917 Extensive repair of turning-outward eyelid defect	20	19	$6675.75	$508.19
11106 Incision biopsy, first skin growth	20	20	$196.90	$51.68
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$162.28	$45.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$553.40	$156.98
68840 Probing of nasal-tear duct	12	11	$539.67	$134.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92285 Photography of content of eyes	72	72	$34.12	$2.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$467.09	$129.02
99213 Established patient office or other outpatient visit, typically 15 minutes	45	41	$195.20	$64.19
92082 Exam of visual field with intermediate testing	44	44	$70.00	$20.11
92136 Measurement of corneal curvature and depth of eye	43	25	$81.83	$29.69
92014 Established patient complete exam of visual system	41	41	$239.85	$74.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	36	$372.42	$94.71
66984 Removal of cataract with insertion of lens	33	22	$6657.45	$468.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$301.18	$79.02
92081 Exam of visual field with limited testing	29	29	$42.50	$15.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	18	$104.98	$34.50
67904 Repair of tendon of upper eyelid	19	19	$12266.37	$787.85
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$189.02	$46.53
15823 Removal of excessive skin and fat of upper eyelid	15	15	$8243.00	$754.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	81	48	$6380.00	$459.39
92014 Established patient complete exam of visual system	72	70	$230.63	$75.62
92136 Measurement of corneal curvature and depth of eye	71	42	$78.20	$30.05
99213 Established patient office or other outpatient visit, typically 15 minutes	66	54	$185.15	$65.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$459.94	$130.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	29	$104.78	$34.79
92285 Photography of content of eyes	45	45	$7.50	$2.86
92081 Exam of visual field with limited testing	45	45	$40.90	$15.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	41	$383.33	$96.19
15823 Removal of excessive skin and fat of upper eyelid	24	24	$7737.38	$786.04
66982 Complex removal of cataract with insertion of prosthetic lens	21	15	$7935.00	$670.16
64612 Injection of chemical for paralysis of nerve muscles on side of face	21	11	$1806.93	$124.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$330.56	$80.16
68840 Probing of nasal-tear duct	13	13	$1930.94	$146.61
66821 Removal of recurring cataract in lens capsule using a laser	11	11	$2460.00	$268.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	93	52	$75.88	$30.88
66984 Removal of cataract with insertion of lens	82	48	$6158.90	$478.34
92014 Established patient complete exam of visual system	73	72	$225.62	$77.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$348.37	$124.70
99213 Established patient office or other outpatient visit, typically 15 minutes	41	35	$145.27	$49.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	35	$221.62	$76.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	32	$336.78	$108.16
92081 Exam of visual field with limited testing	31	30	$39.56	$16.04
92285 Photography of content of eyes	30	29	$7.25	$2.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	20	$101.48	$24.68
92136 Measurement of corneal curvature and depth of eye	25	14	$149.14	$45.74
15823 Removal of excessive skin and fat of upper eyelid	20	20	$7628.40	$793.81
66982 Complex removal of cataract with insertion of prosthetic lens	18	12	$7680.83	$650.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$240.53	$72.81
68840 Probing of nasal-tear duct	15	15	$1929.98	$147.64
67904 Repair of tendon of upper eyelid	14	14	$12556.50	$803.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$481.73	$159.80
66821 Removal of recurring cataract in lens capsule using a laser	13	12	$3260.69	$317.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	110	104	$214.79	$77.69
92136 Measurement of corneal curvature and depth of eye	93	56	$72.14	$31.28
66984 Removal of cataract with insertion of lens	91	57	$5887.92	$582.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$330.31	$124.58
92081 Exam of visual field with limited testing	56	56	$37.98	$16.09
66982 Complex removal of cataract with insertion of prosthetic lens	53	18	$4003.68	$361.45
92285 Photography of content of eyes	53	53	$6.99	$2.95
99213 Established patient office or other outpatient visit, typically 15 minutes	47	43	$138.20	$49.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	42	$212.50	$74.78
15823 Removal of excessive skin and fat of upper eyelid	32	32	$7315.19	$798.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	24	$321.69	$107.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	18	$97.46	$24.67
92136 Measurement of corneal curvature and depth of eye	21	11	$144.50	$50.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$221.34	$73.20
67810 Biopsy of eyelid	15	15	$1177.20	$68.69
66821 Removal of recurring cataract in lens capsule using a laser	15	15	$2883.80	$320.95
67904 Repair of tendon of upper eyelid	14	14	$11406.86	$792.25
92004 New patient complete exam of visual system	13	13	$263.87	$98.10
92133 Imaging of optic nerve	11	11	$65.07	$22.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	112	54	$4940.51	$480.27
92136 Measurement of corneal curvature and depth of eye	78	44	$142.95	$55.26
92014 Established patient complete exam of visual system	65	63	$206.93	$77.54
92136 Measurement of corneal curvature and depth of eye	52	30	$70.21	$30.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$421.77	$157.11
92014 Established patient complete exam of visual system	45	45	$274.36	$122.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$325.50	$121.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	34	$204.41	$75.38
15823 Removal of excessive skin and fat of upper eyelid	32	32	$7063.81	$787.89
92285 Photography of content of eyes	30	30	$6.77	$2.91
92081 Exam of visual field with limited testing	30	30	$36.79	$16.19
92081 Exam of visual field with limited testing	29	29	$73.14	$32.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	22	$94.66	$24.28
92004 New patient complete exam of visual system	26	26	$330.24	$146.70
92285 Photography of content of eyes	26	26	$44.70	$16.30
92004 New patient complete exam of visual system	26	26	$249.74	$96.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$270.40	$103.49
66982 Complex removal of cataract with insertion of prosthetic lens	19	11	$7126.26	$703.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	14	$124.50	$42.05
64612 Injection of chemical for paralysis of nerve muscles on side of face	16	11	$1144.22	$127.34
66821 Removal of recurring cataract in lens capsule using a laser	15	15	$3910.53	$340.23
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$178.10	$69.80
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$135.52	$49.12
66821 Removal of recurring cataract in lens capsule using a laser	12	11	$2391.38	$303.23
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	11	11	$5854.36	$762.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	1,967	12	$13.02	$5.88
92014 Established patient complete exam of visual system	137	128	$238.71	$118.50
66984 Removal of cataract with insertion of lens	111	68	$5125.78	$539.69
92136 Measurement of corneal curvature and depth of eye	92	54	$122.77	$61.54
92081 Exam of visual field with limited testing	62	62	$62.95	$30.90
92285 Photography of content of eyes	59	59	$38.72	$16.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	59	$246.94	$103.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$378.74	$154.87
92004 New patient complete exam of visual system	50	50	$286.36	$141.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	28	$113.54	$41.59
15823 Removal of excessive skin and fat of upper eyelid	35	35	$5707.37	$775.77
99213 Established patient office or other outpatient visit, typically 15 minutes	35	29	$161.54	$68.72
64612 Injection of chemical for paralysis of nerve muscles on side of face	32	12	$1563.34	$140.61
66821 Removal of recurring cataract in lens capsule using a laser	28	27	$3065.50	$316.17
92133 Imaging of optic nerve	17	17	$73.99	$32.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$368.39	$138.70
67904 Repair of tendon of upper eyelid	16	16	$10667.94	$756.48
67810 Biopsy of eyelid	15	12	$1366.60	$147.42
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	14	14	$4666.93	$677.45
11100 Biopsy of single growth of skin and/or tissue	13	12	$488.77	$94.58
92002 New patient problem focused exam of visual system	11	11	$161.45	$78.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$278.20	$102.53

Medical Specialties & State Licenses

CMS Verified: 2022-08-09

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WI 32645

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

31758000 (WI)

Hospital & Practice Group Affiliations

Gundersen Lutheran Medical Center Inc

1910 S Ave, La Crosse, WI 546015467

Phone: 6087827300

Gundersen Lutheran Medical Center Inc

710 Denton St, La Crosse, WI 546015447

Phone: 6087827300

Gundersen Lutheran Medical Center Inc

724 Denton St, La Crosse, WI 546015447

Phone: 6087827300

Secondary Practice Locations

1000 N Oak Ave

Marshfield, WI 54449

Phone: 7152217571

Practice Associates & Co-Workers

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

40 Associated Practitioners

Jessica Thesing , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003090507

Certified Registered Nurse Anesthetist

Dr. Michael Smith , PsyD

Psychologist

NPI 1003167909

Doctor of Psychology (Psy.D.)

Jessica Rasmussen

Surgery

NPI 1003201427

Julie Sonsalla , APNP

Nurse Practitioner - Adult Health

NPI 1003285511

Advanced Practice Nurse Prescriber

Laura Klingbeil

Orthopaedic Surgery

NPI 1003293713

Susan Sorrentino , RN

Registered Nurse - Addiction (Substance Use Disorder)

NPI 1003313610

Registered Nurse

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location August 09, 2022

Registered at 724 DENTON ST, LA CROSSE, WI 546015447 (Tel: 6087827300)

📍

Updated Business Mailing Address August 09, 2022

Registered at 1836 SOUTH AVE, LA CROSSE, WI 546015429 (Tel: 6087827300)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1000 N OAK AVE, MARSHFIELD, WI 54449 (Tel: 7152217571)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1000 N OAK AVE, MARSHFIELD, WI 544495777

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as EFRAIN CANCEL, MD

🎓

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

Ophthalmology (License #32645 in WI)

🟢

Initial NPI Registration & Enumeration August 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Efrain Cancel. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1972619419

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 21, 2006

Last Update: August 09, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1836 South Ave

La Crosse, WI 546015429

Phone: 6087827300

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.