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Active NPI 1225089709 Individual Practitioner Male Practitioner

Dr. Kenneth Simons , MD

Ophthalmology • Milwaukee, WI

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Simons, MD is a registered healthcare professional specializing in Ophthalmology in Milwaukee, WI. Practice services are available at 925 N 87TH ST under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

925 N 87th St
The Eye Institute

Milwaukee, WI 532264812

Telephone 4149552020
Fax 4149556332
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Milwaukee, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.2 Yrs
State Avg: 25.3 Yrs
Regional Practice Density
76 Specialists

Practicing in Milwaukee, WI (464 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
83.7% 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 (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
96 92 $259.00 $73.63
92004 New patient complete exam of visual system
22 22 $323.00 $92.75
92083 Exam of visual field with extended testing
17 16 $288.00 $26.12
92250 Photography of the retina
11 11 $438.00 $20.42

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WI 30163

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.

Pathology - Anatomic Pathology

NUCC Taxonomy Code: 207ZP0101X

State License WI 30163

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1225089709 (WI)
Commercial Insurance / Payer ID Humana
002000133

Practice Associates & Co-Workers

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

32 Associated Practitioners
NPI 1003658451

Doctor of Optometry

Jacquelyn Laplant

Ophthalmology

NPI 1033572375
Dr. Mari Ogino , MD

Student in an Organized Health Care Education/Training Program

NPI 1033812300

Doctor of Medicine (M.D.)

NPI 1073193058

Doctor of Medicine (M.D.)

Dr. Jeffrey Liu , MD

Student in an Organized Health Care Education/Training Program

NPI 1144163478

Doctor of Medicine (M.D.)

NPI 1184935918

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 20, 2015

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

📍
Updated Business Mailing Address January 20, 2015

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

👤
Provider Name / Credentials Updated January 20, 2015

Recorded as KENNETH SIMONS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2015

Ophthalmology (License #30163 in WI)

🟢
Initial NPI Registration & Enumeration May 12, 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: 1225089709
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2006
Last Update: January 20, 2015
Sole Proprietor: No

Mailing Address

925 N 87th St, The Eye Institute

Milwaukee, WI 532264812

Phone: 4149552020

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.