DOUGLAS J WESELY (OD) – Optometrist, NPI 1124018635

DOUGLAS J WESELY (OD) is a healthcare provider. based in La crosse, Wisconsin. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2345 (WI). The NPI Number for DOUGLAS J WESELY (OD) is 1124018635

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS J WESELY (OD)
NPI
1124018635
Phone
(608) 791-9871
Address
800 West Ave S
Enumeration Date
26 October 2005
Last Update Date
28 February 2022

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
6083925000
Graduation Year
1989 (37 years ago)
PAC ID
6204720832
Group Practice PAC ID
0345152443
Professional Enrollment ID
I20040212000729
Address ID
WI546508679ON191XXRDXX300

Contacts

Secure Messaging
dwesely27599@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

798 OPTOMETRY in WI

Provider Addresses for DOUGLAS J WESELY (OD)

  • 800 West Ave S

    La Crosse, WI 546018806

    Phone: (608) 791-9871

    Fax: (608) 791-7852

    Type: Location

  • Eau Claire Post Office, Orchard Street, Pipestone Township, Berrien County, Michigan, 49102, United States

    EAU CLAIRE, WI 547021510

    Phone: (608) 785-0940

    Type: Mailing

  • Mayo Clinic Health System - Franciscan Healthcare Onalaska, 191, Theater Road, Onalaska, Town of Medary, La Crosse County, Wisconsin, 54650, United States

    ONALASKA, WI 54650

    Phone: (608) 785-0940

    Type: Location

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (715) 838-5222

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-02-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040212000729IOptometryWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system556556$0
92004New patient complete exam of visual system146146$0
99213Established patient office or other outpatient visit, 20-29 minutes12398$0
92083Exam of visual field with extended testing3636$0
92134Imaging of retina3333$0
View full utilization report →

Insurance plans in this area (ZIP 54601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345152443View full group profile
NameSpecialtyState
-WI
P S Y C H I A T R YWI
Nurse PractitionerWI
Family PracticeWI
Family PracticeWI
-WI
-MN
-MN
U R O L O G YWI
Physician AssistantMN

Reviews

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Frequently asked questions

What number should I use to identify DOUGLAS J WESELY (OD) for billing?
Administrative and clinical systems typically use NPI 1124018635 for DOUGLAS J WESELY (OD).
Is DOUGLAS J WESELY (OD) currently accepting referrals based on NPI status?
Registry metadata lists DOUGLAS J WESELY (OD) as active.
What type of care does DOUGLAS J WESELY (OD) provide?
DOUGLAS J WESELY (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to DOUGLAS J WESELY (OD)?
The directory associates DOUGLAS J WESELY (OD) with La Crosse, Wisconsin. Check all listed addresses for suites or satellite offices.
Why is information missing for DOUGLAS J WESELY (OD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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