DR. ALICJA JANINA FITZGERALD (O.D.) – Optometrist, NPI 1124341375
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
798 OPTOMETRY in WI
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Provider Addresses for DR. ALICJA JANINA FITZGERALD (O.D.)
701, South Church Street, Watertown, Jefferson County, Wisconsin, 53094, United States
WATERTOWN, WI 530946213
Phone: (920) 261-9225
Type: Location
9845, Rambouillet Ridge, Roscoe, Harlem Township, Winnebago County, Illinois, 61073, United States
ROSCOE, IL 610731905
Phone: (847) 989-4983
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $52.
Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($36).
Total Amount
$52
General + Research + Ownership
Payments
2
Total payment records
General Amount
$52
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Vision Care, Inc. | $36 |
| Alcon Vision LLC | $16 |
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: 2017-10-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120209000713 | I | Optometry | IL | TBD |
| I20171009001032 | I | Optometry | WI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92004 | New patient complete exam of visual system | 22 | 22 | $0 |
| 92014 | Established patient complete exam of visual system | 22 | 22 | $0 |
Insurance plans in this area (ZIP 53094)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | WI | |
| O P T O M E T R Y | WI | |
| O P T O M E T R Y | WI | |
| O P T O M E T R Y | NE | |
| - | MT | |
| O P T O M E T R Y | WI | |
| O P T O M E T R Y | IL | |
| - | UT | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IA |
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