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Active NPI 1760112973 Individual Practitioner Male Practitioner

Dr. Anthony Jacob Brechtelsbauer , OD

Optometrist • Portage, WI

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Brechtelsbauer, OD is a registered Optometrist practitioner in Portage, WI. With approximately 4 years of clinical practice since completing medical education in 2022, Dr. Brechtelsbauer provides healthcare services at the registered practice location at 2825 HUNTERS TRL LOWR LEVEL.

Dr. Brechtelsbauer is affiliated with Dean Health Systems Inc and accepts Medicare assignment.

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

2825 Hunters Trl Lowr Level

Portage, WI 539013429

Telephone 6087425522
Fax 6087453054
Associated Practice Facility / Clinic
🏢 Dean Health Systems, Inc. Facility NPI 1427085679

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Portage, WI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -11.5 yrs vs City Avg
City Avg: 15.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Portage, WI (1196 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
74.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Brechtelsbauer (4 Years) 4 Yrs
Portage Specialty Average (15.5 Years) 15.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
118 118 $396.00 $119.62
99213 Established patient office or other outpatient visit, typically 15 minutes
90 69 $256.00 $85.35
92004 New patient complete exam of visual system
84 84 $472.00 $141.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
24 24 $357.00 $104.37
92134 Imaging of retina
23 23 $224.00 $37.87
92133 Imaging of optic nerve
14 14 $210.00 $33.14
92083 Exam of visual field with extended testing
11 11 $394.00 $59.95

Medical Specialties & State Licenses

CMS Verified: 2024-01-05
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MI 4901005627

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License WI 3903

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
1760112973 (WI)

Hospital & Practice Group Affiliations

Dean Health Systems Inc

2825 Hunters Trl, Portage, WI 539013429

Phone: 6087425522

Secondary Practice Locations

2700 Wildwood Ave

Jackson, MI 492023933

Phone: 5172305547

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1053803114

Doctor of Optometry

NPI 1124071352

Doctor of Optometry

NPI 1902850977

Doctor of Optometry

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location January 05, 2024

Registered at 2825 HUNTERS TRL LOWR LEVEL, PORTAGE, WI 539013429 (Tel: 6087425522)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2024

Optometrist (License #3903 in WI)

NPI Profile Active June 13, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2022

Registered at 2700 WILDWOOD AVE, JACKSON, MI 492023933 (Tel: 5172305547)

📍
Updated Business Mailing Address June 13, 2022

Registered at 919 ESSEX PARK DR, JACKSON, MI 492033884 (Tel: 5172305547)

👤
Provider Name / Credentials Updated June 13, 2022

Recorded as ANTHONY BRECHTELSBAUER, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2022

Optometrist (License #4901005627 in MI)

🟢
Initial NPI Registration & Enumeration June 13, 2022

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: 1760112973
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2022
Last Update: January 05, 2024
Sole Proprietor: No

Mailing Address

919 Essex Park Dr

Jackson, MI 492033884

Phone: 5172305547

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.