Individual provider Active NPI

Aaron C Holtebeck, M.D.

  • Ophthalmology Physician
  • Brookfield, WI
National Provider Identifier
1760400147
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
49474 Issued in WI
Practice address
18200 W Capitol Dr Ste 103
Brookfield, WI 53045-1445
Phone
(262) 393-2020
Fax
(414) 377-4150
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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 49474 WI Primary

Addresses

Primary practice location

18200 W Capitol Dr Ste 103
Brookfield, WI 53045-1445

Mailing address

18200 W Capitol Dr Ste 103
Brookfield, WI 53045-1445
Phone (262) 393-2020

Other identifiers 1

IdentifierTypeStateIssuer
34710600MedicaidWI

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
I20060818000193 WI Practitioner - Ophthalmology 3577566256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Wisconsin, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holtebeck Eye Center SCGroup PAC ID 6406263730, 2 clinicians

Practice addresses (Care Compare)

18200 W Capitol Dr
Brookfield, WI 53045-1445
Phone (262) 393-2020

Merit-based Incentive Payment System (MIPS)

Final score
87.03 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
56.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery264

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Holtebeck Eye Center SC Ophthalmology CurrentSince Feb 17, 2021 Accepting new patients
Vision Partners of Wisconsin LLC CurrentSince Sep 5, 2023 Accepting new patients
Pharos Enterprises of Wisconsin, LLC Current Accepting new patients
Eye Centers of Racine and Kenosha LTD Ophthalmology PastSince Dec 14, 2025 Accepting new patients

Locations

18200 W Capitol Dr
Ste 103
Brookfield, WI 53045
Phone (262) 393-2020

2356 S 102nd St
West Allis, WI 53227
Phone (414) 336-3000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1760400147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18200 W CAPITOL DR STE 103",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530451445",
            "telephone_number": "262-393-2020",
            "fax_number": "414-377-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18200 W CAPITOL DR STE 103",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530451445",
            "telephone_number": "262-393-2020",
            "fax_number": "414-377-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTEBECK",
        "first_name": "AARON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "49474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34710600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.