Active NPI 1003106378 Individual Practitioner Female Practitioner

Dr. Laura Jean Kopplin , MD, PhD

Ophthalmology • Madison, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Laura Kopplin, MD, PhD is a certified Ophthalmology practicing in Madison, WI. With approximately 15 years of clinical experience since graduating from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2011, Dr. Kopplin delivers high-quality medical care to the local community at 600 HIGHLAND AVE.

Dr. Kopplin is affiliated with University Of Wisconsin Medical Foundation Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include imaging of retina, established patient outpatient office visit, injection of drug into eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

600 Highland Ave

Madison, WI 53792

Telephone 6082636070

Associated Practice Facility / Clinic

🏢 University Of Wisconsin Medical Foundation Facility NPI 1528029204

Medicare Profile & Education

Medical School

Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Madison, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -6.0 yrs vs City Avg

City Avg: 21.0 Yrs

State Avg: 25.3 Yrs

Regional Practice Density

95 Specialists

Practicing in Madison, WI (464 Statewide)

Telehealth Adoption Rate

4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kopplin (15 Years) 15 Yrs

Madison Specialty Average (21.0 Years) 21.0 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
92134 Imaging of retina	396	161	$135.00	$23.25
99213 Established patient office or other outpatient visit, typically 15 minutes	245	168	$234.00	$61.14
67028 Injection of drug into eye	230	72	$1501.09	$88.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	226	95	$343.00	$89.50
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	152	69	$35.00	$15.41
92083 Exam of visual field with extended testing	30	30	$153.20	$28.71
92133 Imaging of optic nerve	22	22	$133.00	$20.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$359.00	$75.40
92235 Exam of retinal blood vessels using a special camera after injection of a dye	19	17	$236.00	$39.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	12	$502.00	$133.54

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	207	100	$314.60	$91.62
92134 Imaging of retina	183	91	$135.30	$23.72
99213 Established patient office or other outpatient visit, typically 15 minutes	158	118	$218.30	$61.23
92014 Established patient complete exam of visual system	46	46	$330.00	$72.78
92083 Exam of visual field with extended testing	43	40	$143.47	$26.80
66984 Removal of cataract with insertion of lens	43	28	$5573.00	$507.18
92136 Measurement of corneal curvature and depth of eye	42	28	$184.50	$28.93
92133 Imaging of optic nerve	29	29	$130.50	$19.99
66821 Removal of recurring cataract in lens capsule using a laser	25	18	$2035.00	$292.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$346.70	$76.93
92025 Ct scan of cornea	19	16	$72.80	$18.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$494.30	$124.63
92235 Exam of retinal blood vessels using a special camera after injection of a dye	15	13	$236.00	$40.35

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	184	93	$294.00	$92.78
92134 Imaging of retina	165	79	$134.00	$24.42
99213 Established patient office or other outpatient visit, typically 15 minutes	110	79	$204.00	$63.51
92014 Established patient complete exam of visual system	94	93	$298.00	$74.17
92136 Measurement of corneal curvature and depth of eye	56	41	$163.80	$29.06
66984 Removal of cataract with insertion of lens	39	26	$5573.00	$513.96
92083 Exam of visual field with extended testing	35	32	$136.34	$26.40
92133 Imaging of optic nerve	22	22	$122.00	$21.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$462.00	$128.29
92235 Exam of retinal blood vessels using a special camera after injection of a dye	16	11	$236.00	$40.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	13	$469.00	$139.23
66821 Removal of recurring cataract in lens capsule using a laser	16	12	$2035.00	$295.30
92025 Ct scan of cornea	13	12	$72.00	$17.57

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	173	83	$280.00	$95.09
92134 Imaging of retina	123	56	$134.00	$24.68
99213 Established patient office or other outpatient visit, typically 15 minutes	105	73	$194.00	$64.47
92014 Established patient complete exam of visual system	57	57	$298.00	$75.05
92136 Measurement of corneal curvature and depth of eye	40	28	$156.00	$29.79
66984 Removal of cataract with insertion of lens	39	26	$5573.00	$519.30
92083 Exam of visual field with extended testing	36	26	$169.25	$32.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	20	$446.00	$140.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$440.00	$129.58
92235 Exam of retinal blood vessels using a special camera after injection of a dye	15	15	$236.00	$41.39
92133 Imaging of optic nerve	14	14	$122.00	$21.29
92012 Established patient problem focused exam of visual system	12	11	$254.00	$49.61

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	100	58	$266.00	$75.99
92134 Imaging of retina	94	42	$109.00	$24.87
99213 Established patient office or other outpatient visit, typically 15 minutes	66	39	$185.00	$50.03
92014 Established patient complete exam of visual system	51	51	$279.00	$77.53
92136 Measurement of corneal curvature and depth of eye	33	20	$125.00	$31.21
92083 Exam of visual field with extended testing	19	18	$135.00	$26.68
92004 New patient complete exam of visual system	19	19	$335.00	$97.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$424.00	$106.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	44	26	$213.32	$48.42
99213 Established patient office or other outpatient visit, typically 15 minutes	44	29	$217.57	$65.37
92014 Established patient complete exam of visual system	41	41	$245.51	$101.70
92134 Imaging of retina	39	23	$151.28	$24.67
92134 Imaging of retina	38	30	$145.74	$30.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$254.00	$73.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	18	$315.40	$76.62
92004 New patient complete exam of visual system	24	24	$311.33	$106.44
92083 Exam of visual field with extended testing	20	19	$254.70	$52.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$409.40	$110.01
92014 Established patient complete exam of visual system	13	13	$237.00	$78.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	93	48	$204.00	$48.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	38	$301.00	$71.96
99213 Established patient office or other outpatient visit, typically 15 minutes	66	36	$235.00	$69.45
92134 Imaging of retina	58	25	$145.00	$23.55
92134 Imaging of retina	35	13	$219.00	$40.33
92014 Established patient complete exam of visual system	20	20	$226.00	$122.02
92004 New patient complete exam of visual system	17	17	$268.00	$139.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$468.00	$103.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$349.00	$103.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	139	55	$194.00	$48.12
92134 Imaging of retina	62	25	$138.00	$25.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	27	$287.00	$75.63
99213 Established patient office or other outpatient visit, typically 15 minutes	28	13	$235.00	$68.48
92250 Photography of the retina	25	15	$364.00	$21.38
92134 Imaging of retina	21	12	$219.00	$39.50
92235 Exam of retinal blood vessels using a special camera after injection of a dye	18	16	$77.00	$42.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$409.00	$123.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$140.00	$24.39
92004 New patient complete exam of visual system	15	15	$268.00	$136.13
92014 Established patient complete exam of visual system	13	13	$226.00	$119.28
76512 Ultrasound of eye disease, growth, or structure	12	11	$340.00	$51.93

Medical Specialties & State Licenses

CMS Verified: 2021-01-15

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WI 66019

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.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License OR MD171856

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1003106378 (WI)

Hospital & Practice Group Affiliations

University Of Wisconsin Medical Foundation Inc

600 Highland Ave, Madison, WI 537920001

Phone: 6082636400

Secondary Practice Locations

925 N 87th St, The Eye Institute

Milwaukee, WI 532264812

Phone: 4149552020

2880 University Ave

Madison, WI 537053644

Phone: 6082637171

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Kevin Schneider , MD

Ophthalmology

NPI 1205577301

Doctor of Medicine (M.D.)

Dr. Kathleen Schildroth , MD

Ophthalmology

NPI 1902225410

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2021

Ophthalmology (License #66019 in WI)

📍

Updated Practice Location July 15, 2019

Registered at 600 HIGHLAND AVE, MADISON, WI 53792 (Tel: 6082636070)

📍

Updated Business Mailing Address July 15, 2019

Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531 (Tel: 6088295485)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2019

Ophthalmology (License #MD171856 in OR)

✅

NPI Profile Active September 16, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 16, 2016

Registered at 925 N 87TH ST, THE EYE INSTITUTE, MILWAUKEE, WI 532264812 (Tel: 4149552020)

📍

Updated Business Mailing Address September 16, 2016

Registered at 925 N 87TH ST, THE EYE INSTITUTE, MILWAUKEE, WI 532264812 (Tel: 4149552020)

👤

Provider Name / Credentials Updated September 16, 2016

Recorded as LAURA KOPPLIN, MD, PHD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2016

Ophthalmology (License #66019 in WI)

🟢

Initial NPI Registration & Enumeration April 07, 2011

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: 1003106378

Entity Type:

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

Enumeration Date: April 07, 2011

Last Update: January 15, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7974 Uw Health Ct

Middleton, WI 535625531

Phone: 6088295485

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.