NPIMap

Individual provider Active NPI

David Carli

  • Ophthalmology Physician
  • Wausau, WI
National Provider Identifier
1932762374
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
81541 Issued in WI
Practice address
800 N 1St St
Wausau, WI 54403-4754
Phone
(715) 261-8500
NPI assigned
Apr 22, 2019
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 81541 WI Primary
Ophthalmology Physician 207W00000X 02007182A IN

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
81541OtherWIMEDICAL LICENSE
02007182AOtherININDIANA STATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dcarli@directmessage.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240912001645 WI Practitioner - Ophthalmology 3173981537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2019
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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.7 of 100Reported as group
Quality
74.71
Improvement activities
40
Cost
59.38

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 surgery212

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02007182AINMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Clinic of Wisconsin, SC Ophthalmology CurrentSince Oct 7, 2024 Accepting new patients
Eye Clinic of Wisconsin, S.C. Ophthalmology CurrentSince Oct 7, 2024 Accepting new patients
Eye Clinic of Wisconsin SC Ophthalmology Current Accepting new patients
Eye Clinic of Wisconsin, S.C. Ophthalmology Past Accepting new patients

Locations

409 N Chestnut Ave
Ste 2
Marshfield, WI 54449
Phone (715) 261-8557

101 S Gibson St
#16
Medford, WI 54451
Phone (715) 748-5775

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

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

841 Goodnow Ave
Ste 103
Wisconsin Rapids, WI 54494
Phone (715) 261-8500

Interoperability endpoints

  • Direct secure messaging: dcarli@directaddress.net
  • Direct secure messaging: dcarli@directmessage.net
  • Direct secure messaging: dcarli@eyeclinicwi.intellechartdirect.net

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

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1932762374",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLI",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-22",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "81541",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "02007182A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "81541",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA STATE LICENSE",
            "identifier": "02007182A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcarli@directmessage.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.