Individual provider Active NPI

Paul S. Jeppsen, M.D.

  • Ophthalmology Physician
  • Madison, WI
National Provider Identifier
1275582033
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
48353 Issued in WI
Practice address
University of Wisconsin Hospital and Clinics
600 Highland Ave. Room H4/831-8320
Madison, WI 53792-0001
Phone
(608) 263-0572
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 48353 WI Primary

Addresses

Primary practice location

University of Wisconsin Hospital and Clinics
600 Highland Ave. Room H4/831-8320
Madison, WI 53792-0001

Mailing address

University of Wisconsin Hospital and Clinics
600 Highland Ave. Room H4/831-8320
Madison, WI 53792-0001
Phone (608) 263-0572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080825000512 UT Practitioner - Ophthalmology 4880769967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Wisconsin, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky MTN Eye Care Associates LCGroup PAC ID 6305878539, 5 clinicians

Practice addresses (Care Compare)

4400 S 700
Suite 100
Salt Lake Cty, UT 84107-3053
Phone (801) 264-4450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48353WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky MTN Eye Care Associates LC CurrentSince Jul 1, 2008 Accepting new patients

Locations

4400 S 700 E
Ste 100
Salt Lake Cty, UT 84107
Phone (801) 264-4450

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1275582033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS",
            "address_2": "600 HIGHLAND AVE. ROOM H4/831-8320",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537920001",
            "telephone_number": "608-263-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS",
            "address_2": "600 HIGHLAND AVE. ROOM H4/831-8320",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537920001",
            "telephone_number": "608-263-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEPPSEN",
        "first_name": "PAUL",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "48353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.