Individual provider Active NPI

Michael Edward Possin, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Appleton, WI
National Provider Identifier
1811253289
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
65572 Issued in WI
Practice address
442 N Westhill Blvd Ste a
Appleton, WI 54914-5830
Phone
(920) 751-8666
Fax
(920) 751-0822
NPI assigned
Apr 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 65572 WI Primary

Addresses

Primary practice location

442 N Westhill Blvd Ste a
Appleton, WI 54914-5830

Mailing address

442 N Westhill Blvd Ste a
Appleton, WI 54914-5830
Phone (920) 751-8666

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
I20160531002281 WI Practitioner - Ophthalmology 6709020225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Wisconsin School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Wisconsin Retina Associates SCGroup PAC ID 8224029707, 7 clinicians

Practice addresses (Care Compare)

442 N Westhill Blvd
Suite a
Appleton, WI 54914-5831
Phone (920) 751-8666

515 S Washburn St
Suite 101a
Oshkosh, WI 54904-7951
Phone (920) 232-8060

5733 Windy Dr
Suite a
Stevens Point, WI 54482-8483
Phone (715) 600-8105

723 Park Ridge LN
Suite 10
North Fond Du Lac, WI 54937-1385
Phone (920) 322-8688

Hospital & facility affiliations

  • Thedacare Regional Med Ctr - Neenah Hospital, Neenah, WI, CCN 520045

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 surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Wisconsin Retina Associates SC Retina Specialist CurrentSince Jul 30, 2018 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

442 N Westhill Blvd
Ste A
Appleton, WI 54914
Phone (920) 751-8666

200 Theda Clark Medical Plz
Ste 110
Neenah, WI 54956
Phone (920) 751-8666

723 Park Ridge Ln
#10
North Fond du Lac, WI 54937
Phone (920) 322-8688

515 S Washburn St
Ste 101A
Oshkosh, WI 54904
Phone (920) 232-8060

5733 Windy Dr
Ste A
Stevens Point, WI 54482
Phone (715) 600-8105

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.

Hospital & facility affiliations 5

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": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1811253289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 N WESTHILL BLVD STE A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549145830",
            "telephone_number": "920-751-8666",
            "fax_number": "920-751-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 N WESTHILL BLVD STE A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549145830",
            "telephone_number": "920-751-8666",
            "fax_number": "920-751-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSSIN",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "WI",
            "license": "65572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.