Individual provider Active NPI

Mark F Brower, DO

  • Ophthalmology Physician
  • Elkhorn, WI
National Provider Identifier
1376530568
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
24821 Issued in WI
Practice address
1311 S Lincoln St
Elkhorn, WI 53121-4375
Phone
(262) 723-4600
Fax
(262) 947-4996
NPI assigned
Oct 3, 2005
Last updated
Aug 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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 24821 WI Primary

Addresses

Primary practice location

1311 S Lincoln St
Elkhorn, WI 53121-4375

Mailing address

1311 S Lincoln St
Elkhorn, WI 53121-4375
Phone (262) 723-4600

Other practice location 1

675 W State St
Burlington, WI 53105-1739
Phone (262) 763-7772

Other identifiers 1

IdentifierTypeStateIssuer
30025700MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbrower@eps.emadirect.md

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090604000621 WI Practitioner - Ophthalmology 0446163257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Midwestern University, Chicago College of Osteopathic Med, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians and Surgeons SCGroup PAC ID 6608926084, 5 clinicians

Practice addresses (Care Compare)

1311 S Lincoln St
Elkhorn, WI 53121-4375
Phone (262) 723-4600

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as individual
Quality
76.12
Promoting interoperability
99
Improvement activities
40
Cost
71.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24821WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians and Surgeons SC Ophthalmology CurrentSince Nov 1, 1996 Accepting new patients
Eye Physicians & Surgeons SC Ophthalmology CurrentSince Nov 1, 1996 Accepting new patients

Locations

675 W State St
Burlington, WI 53105
Phone (262) 763-7613

709 Spring Valley Rd
Burlington, WI 53105
Phone (262) 767-6020

1311 S Lincoln St
Elkhorn, WI 53121
Phone (262) 723-4600

Interoperability endpoints

  • Direct secure messaging: mbrower@eps.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1376530568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 S LINCOLN ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531214375",
            "telephone_number": "262-723-4600",
            "fax_number": "262-723-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 S LINCOLN ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531214375",
            "telephone_number": "262-723-4600",
            "fax_number": "262-947-4996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 W State St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "WI",
            "postal_code": "531051739",
            "country_code": "US",
            "telephone_number": "262-763-7772",
            "fax_number": "262-947-4996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWER",
        "first_name": "MARK",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "24821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30025700",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbrower@eps.emadirect.md",
            "affiliation": "N",
            "address_1": "1311 S Lincoln St",
            "city": "Elkhorn",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531214375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elkhorn, WI

Sources for this page

Verify at the official NPI Registry.