Individual provider Active NPI

Mathew Warren Aschbrenner, MD

  • Ophthalmology Physician
  • Wausau, WI
National Provider Identifier
1912101213
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
57163-20 Issued in WI
Practice address
800 N 1St St
Wausau, WI 54403-4754
Phone
(715) 261-8500
Fax
(715) 261-8667
NPI assigned
Jun 12, 2007
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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 57163-20 WI Primary

Addresses

Primary practice location

800 N 1St St
Wausau, WI 54403-4754

Mailing address

800 N 1St St
Wausau, WI 54403-4754
Phone (715) 261-8500

Other identifiers 2

IdentifierTypeStateIssuer
1912101213MedicaidWI
391550040OtherWIMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mashbrenner@directaddress.net

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
I20120808000170 WI Practitioner - Ophthalmology 2264557792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Wisconsin School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Clinic of Wisconsin, S.C.Group PAC ID 9436121829, 22 clinicians

Practice addresses (Care Compare)

800 N 1St St
Wausau, WI 54403-4754
Phone (715) 261-8500

Merit-based Incentive Payment System (MIPS)

Final score
92.35 of 100Reported as group
Quality
96.34
Promoting interoperability
100
Improvement activities
40
Cost
78.15

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

State licenses

LicenseStateTypeSpecialty
57163-20WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Clinic of Wisconsin, SC Ophthalmology CurrentSince Aug 1, 2012 Accepting new patients
Eye Clinic of Wisconsin SC Ophthalmology Current Accepting new patients
Eye Clinic of Wisconsin, S.C. Ophthalmology CurrentSince Aug 1, 2012 Accepting new patients
Retina & Vitreous Consultants Inc Ophthalmology Past Accepting new patients
Eye Clinic of Wisconsin, S.C. Ophthalmology Past Accepting new patients
The Retina Institute LLC Ophthalmology Past Accepting new patients

Locations

2 E Ocala St
Rhinelander, WI 54501
Phone (715) 362-2600

800 N 1st St
Wausau, WI 54403
Phone (715) 261-8500

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: maschbrenner@eyeclinicwi.intellechartdirect.net

Organizations & group practices 6

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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1912101213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N 1ST ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034754",
            "telephone_number": "715-261-8500",
            "fax_number": "715-261-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N 1ST ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034754",
            "telephone_number": "715-261-8500",
            "fax_number": "715-261-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASCHBRENNER",
        "first_name": "MATHEW",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "57163-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912101213",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "391550040",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mashbrenner@directaddress.net",
            "affiliation": "N",
            "address_1": "800 N 1st St",
            "city": "Wausau",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544034754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.