DR. MARK A DAGENAIS (OD) – Optometrist, NPI 1316948516
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
798 OPTOMETRY in WI
Provider Addresses for DR. MARK A DAGENAIS (OD)
3670 S 108TH ST STE 204
MILWAUKEE, WI 532281237
Phone: (414) 453-1010
Fax: (414) 425-4230
Type: Location
Turnberry Oak Drive, Waukesha, Waukesha County, Wisconsin, 53188, United States
SUITE 200
WAUKESHA, WI 531883969
Phone: (262) 542-7113
Fax: (262) 542-9439
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $2,123.
Total Amount is formed as General ($2,123) + Research ($0) + Ownership ($0) = $2,123.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Alcon Vision LLC ($933).
Total Amount
$2,123
General + Research + Ownership
Payments
47
Total payment records
General Amount
$2,123
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $933 |
| Bausch & Lomb Americas Inc. | $745 |
| CooperVision Inc. | $171 |
| Apellis Pharmaceuticals, Inc. | $125 |
| LKC Technologies, Inc. | $91 |
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: 2004-05-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040511000425 | 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 |
|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 2,304 | 19 | $0 |
| 92250 | Photography of the retina | 164 | 160 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 161 | 160 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 57 | 45 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 46 | 36 | $0 |
Insurance plans in this area (ZIP 53228)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | WI |
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