Active NPI 1386624120 Individual Practitioner Male Practitioner

Dr. Marc D Hirsch , MD

Ophthalmology • Milwaukee, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Marc Hirsch, MD is a certified Ophthalmology practicing in Milwaukee, WI. With approximately 28 years of clinical experience since graduating from Chicago College Of Medicine And Surgery in 1998, Dr. Hirsch delivers high-quality medical care to the local community at 2801 W KINNICKINNIC RIVER PKWY.

Dr. Hirsch is affiliated with Eye Physician Associates Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, imaging of retina, established patient problem focused 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

2801 W Kinnickinnic River Pkwy
Ste 170

Milwaukee, WI 532153669

Telephone 4143851277

Fax 4143858730

Associated Practice Facility / Clinic

🏢 Faculty Physicians Of Internal Medicine, S.c. Facility NPI 1831173699

Medicare Profile & Education

Medical School

Chicago College Of Medicine And Surgery

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Milwaukee, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +8.8 yrs vs City Avg

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

64.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hirsch (28 Years) 28 Yrs

Milwaukee Specialty Average (19.2 Years) 19.2 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
92014 Established patient complete exam of visual system	349	347	$241.00	$119.93
92134 Imaging of retina	261	120	$129.00	$38.17
92012 Established patient problem focused exam of visual system	203	134	$170.00	$84.72
66984 Removal of cataract with insertion of lens	168	109	$2493.00	$460.74
67028 Injection of drug into eye	144	23	$652.08	$108.38
92136 Measurement of corneal curvature and depth of eye	133	112	$175.00	$41.12
J0178 Injection, aflibercept, 1 mg	88	13	$1534.09	$832.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	72	$183.00	$121.04
92133 Imaging of optic nerve	80	77	$129.00	$33.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$280.00	$155.45
92083 Exam of visual field with extended testing	69	64	$149.00	$60.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	51	$86.00	$52.62
66821 Removal of recurring cataract in lens capsule using a laser	50	48	$1032.50	$314.44
92004 New patient complete exam of visual system	47	47	$290.00	$142.11
99213 Established patient office or other outpatient visit, typically 15 minutes	39	37	$125.00	$85.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$183.00	$104.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	312	306	$241.00	$121.82
92134 Imaging of retina	211	116	$129.00	$38.81
92012 Established patient problem focused exam of visual system	187	133	$170.00	$85.89
66984 Removal of cataract with insertion of lens	150	94	$2493.00	$477.39
92136 Measurement of corneal curvature and depth of eye	137	105	$175.00	$39.14
J0178 Injection, aflibercept, 1 mg	124	16	$1500.00	$867.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	97	$183.00	$120.98
99213 Established patient office or other outpatient visit, typically 15 minutes	105	81	$125.00	$86.36
92133 Imaging of optic nerve	92	89	$129.00	$34.35
67028 Injection of drug into eye	87	20	$626.00	$107.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$280.00	$158.57
92083 Exam of visual field with extended testing	61	60	$149.00	$59.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	41	$86.00	$54.02
92004 New patient complete exam of visual system	41	41	$290.00	$145.22
66821 Removal of recurring cataract in lens capsule using a laser	37	35	$1016.89	$310.62
92025 Ct scan of cornea	21	21	$75.00	$32.63
66982 Complex removal of cataract with insertion of prosthetic lens	15	11	$2726.00	$696.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	294	290	$241.00	$121.45
66984 Removal of cataract with insertion of lens	191	115	$2493.00	$450.76
99213 Established patient office or other outpatient visit, typically 15 minutes	152	112	$125.00	$85.96
92012 Established patient problem focused exam of visual system	148	108	$170.00	$84.27
92136 Measurement of corneal curvature and depth of eye	123	104	$175.00	$41.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	75	$183.00	$122.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$280.00	$157.89
92133 Imaging of optic nerve	74	71	$129.00	$34.32
92134 Imaging of retina	71	66	$129.00	$38.59
92083 Exam of visual field with extended testing	62	61	$149.00	$59.95
92004 New patient complete exam of visual system	48	48	$290.00	$144.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	37	$86.00	$53.48
66821 Removal of recurring cataract in lens capsule using a laser	33	32	$981.06	$306.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	624	268	$129.00	$39.95
92014 Established patient complete exam of visual system	469	456	$241.00	$123.47
67028 Injection of drug into eye	366	110	$626.00	$110.29
J0178 Injection, aflibercept, 1 mg	282	43	$1500.00	$917.35
92012 Established patient problem focused exam of visual system	265	196	$170.00	$87.54
J9035 Injection, bevacizumab, 10 mg	221	85	$90.00	$70.52
66984 Removal of cataract with insertion of lens	200	127	$2493.00	$475.99
99213 Established patient office or other outpatient visit, typically 15 minutes	199	137	$125.00	$88.24
92136 Measurement of corneal curvature and depth of eye	168	132	$175.00	$45.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	127	109	$86.00	$53.74
92004 New patient complete exam of visual system	122	122	$290.00	$145.84
92133 Imaging of optic nerve	109	105	$129.00	$34.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	93	$183.00	$125.54
92083 Exam of visual field with extended testing	83	81	$149.00	$61.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$280.00	$159.21
66821 Removal of recurring cataract in lens capsule using a laser	43	40	$1058.14	$331.10
92201 Extended exam of the back part of the eye with retinal drawing	28	28	$81.00	$24.32
76514 Ultrasound scan of cornea to determine thickness	27	27	$144.00	$10.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	353	348	$241.00	$123.13
92012 Established patient problem focused exam of visual system	286	164	$170.00	$86.59
66984 Removal of cataract with insertion of lens	178	111	$2493.00	$480.51
92136 Measurement of corneal curvature and depth of eye	148	117	$175.00	$49.68
92004 New patient complete exam of visual system	136	136	$290.00	$147.60
92134 Imaging of retina	106	77	$129.00	$39.74
92133 Imaging of optic nerve	92	90	$129.00	$34.67
92083 Exam of visual field with extended testing	74	66	$149.00	$60.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	38	$86.00	$42.97
66821 Removal of recurring cataract in lens capsule using a laser	30	28	$1050.00	$328.05
92025 Ct scan of cornea	12	11	$75.00	$34.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	447	444	$241.00	$122.75
92012 Established patient problem focused exam of visual system	356	199	$170.00	$85.00
66984 Removal of cataract with insertion of lens	204	124	$2493.00	$568.62
92136 Measurement of corneal curvature and depth of eye	172	123	$175.00	$54.65
92004 New patient complete exam of visual system	166	166	$290.00	$146.73
92134 Imaging of retina	132	107	$129.00	$39.57
92133 Imaging of optic nerve	117	112	$129.00	$34.72
92083 Exam of visual field with extended testing	97	85	$149.00	$61.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	53	$86.00	$43.12
66821 Removal of recurring cataract in lens capsule using a laser	35	26	$900.00	$298.00
76514 Ultrasound scan of cornea to determine thickness	16	15	$144.00	$11.48
92025 Ct scan of cornea	14	14	$75.00	$34.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$183.00	$104.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	448	443	$186.00	$120.72
92012 Established patient problem focused exam of visual system	390	214	$140.00	$84.38
66984 Removal of cataract with insertion of lens	182	111	$2493.00	$568.45
92136 Measurement of corneal curvature and depth of eye	160	110	$164.00	$54.83
92004 New patient complete exam of visual system	156	156	$249.00	$145.08
92134 Imaging of retina	118	97	$129.00	$39.96
92133 Imaging of optic nerve	109	103	$129.00	$34.54
92083 Exam of visual field with extended testing	101	86	$149.00	$60.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	56	$86.00	$42.00
66821 Removal of recurring cataract in lens capsule using a laser	38	31	$921.05	$301.52
76514 Ultrasound scan of cornea to determine thickness	23	21	$144.00	$14.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$177.00	$103.32
92020 Examination of cornea and iris using lens device and slit lamp	13	12	$63.00	$24.59
92025 Ct scan of cornea	11	11	$75.00	$35.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	480	476	$186.00	$118.76
92012 Established patient problem focused exam of visual system	370	239	$139.84	$82.09
66984 Removal of cataract with insertion of lens	198	117	$2493.00	$583.59
92004 New patient complete exam of visual system	165	165	$249.00	$143.16
92134 Imaging of retina	158	125	$129.00	$39.01
92136 Measurement of corneal curvature and depth of eye	151	119	$164.00	$68.69
92133 Imaging of optic nerve	118	116	$129.00	$34.69
92083 Exam of visual field with extended testing	79	76	$149.00	$61.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	52	$86.00	$41.73
66821 Removal of recurring cataract in lens capsule using a laser	28	23	$937.50	$309.31
76514 Ultrasound scan of cornea to determine thickness	24	24	$144.00	$13.84
92025 Ct scan of cornea	17	16	$75.00	$34.22
92020 Examination of cornea and iris using lens device and slit lamp	15	14	$63.00	$26.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$180.00	$102.66

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WI 48395

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

34678800 (WI)

Hospital & Practice Group Affiliations

Eye Physician Associates Sc

4300 W Layton Ave, Greenfield, WI 532204136

Phone: 4149282020

Eye Physician Associates Sc

1249 W Liebau Rd, Mequon, WI 530923397

Phone: 4149282020

Eye Physician Associates Sc

8375 S Howell Ave, Oak Creek, WI 531548344

Phone: 4149282020

Eye Physician Associates Sc

2900 W Oklahoma Ave, Milwaukee, WI 532154330

Phone: 4149282020

Eye Physician Associates Sc

13111 N Port Washington Rd, Mequon, WI 530972416

Phone: 2622437373

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Rosemarie Brueggeman , MD

Ophthalmology

NPI 1306825674

Doctor of Medicine (M.D.)

Dr. Michael Rissell , MD

Ophthalmology

NPI 1558341370

Doctor of Medicine (M.D.)

Dr. Paul Goldstein , MD

Ophthalmology

NPI 1730169574

Doctor of Medicine (M.D.)

Dr. Richard Lernor , MD

Ophthalmology

NPI 1952380248

Doctor of Medicine (M.D.)

Dr. Charles Yang , MD

Ophthalmology

NPI 1992784250

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 November 14, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location November 14, 2011

Registered at 2801 W KINNICKINNIC RIVER PKWY, STE 170, MILWAUKEE, WI 532153669 (Tel: 4143851277)

📍

Updated Business Mailing Address November 14, 2011

Registered at 2801 W KINNICKINNIC RIVER PKWY, STE 170, MILWAUKEE, WI 532153669 (Tel: 4143851277)

👤

Provider Name / Credentials Updated November 14, 2011

Recorded as MARC HIRSCH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2011

Ophthalmology (License #48395 in WI)

🟢

Initial NPI Registration & Enumeration January 18, 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: 1386624120

Entity Type:

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

Enumeration Date: January 18, 2006

Last Update: November 14, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2801 W Kinnickinnic River Pkwy, Ste 170

Milwaukee, WI 532153669

Phone: 4143851277

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.