Active NPI
Adam Burns, OD
- Optometrist
- Fitchburg, WI
National Provider Identifier
1215467758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3462-35
- Practice address
- 3051 Cahill Main
Fitchburg, WI 53711 - Phone
- (608) 251-4156
- NPI assigned
- Jun 18, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3462 | WI | |
| Optometrist | 152W00000X | 3462-35 | WI | Primary |
Addresses
Primary practice location
3051 Cahill Main
Fitchburg, WI 53711
Mailing address
3051 Cahill Main
Fitchburg, WI 53711-7109
Phone (608) 251-4156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170828004699 | WI | Practitioner - Optometry | 7618240524 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Group Health Cooperative of South Central Wisconsin
Practice addresses (Care Compare)
3051 Cahill Main
Fitchburg, WI 53711-7109
Phone (608) 661-7200
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.21 of 100
- Quality
- 71.09
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3462-35 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health Cooperative of South Central Wisconsin | Current | Accepting new patients | |
| University of South Alabama Health Care Authority | Past | Accepting new patients |
Locations
3051 Cahill Main
Fitchburg, WI 53711
Phone (608) 257-9700
8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Maintenance Organization
- Madison, WI
- NPI 1245260165
WI
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1508392432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528243200000",
"number": "1215467758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3051 CAHILL MAIN",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537117109",
"telephone_number": "608-251-4156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3051 CAHILL MAIN",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "53711",
"telephone_number": "608-251-4156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "ADAM",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-18",
"last_updated": "2018-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3462",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3462-35",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fitchburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.