SACHA LUNDGREN (OD) – Optometrist, NPI 1639198971
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 SACHA LUNDGREN (OD)
1265, John Q Hammons Drive, Old Sauk Trails Park, Madison, Dane County, Wisconsin, 53717, United States
MADISON, WI 537171941
Phone: (608) 251-4156
Fax: (608) 257-3842
Type: Mailing
3051, Cahill Main, Hatchery Hill, Nevin State Fish Hatchery, Fitchburg, Dane County, Wisconsin, 53711, United States
FITCHBURG, WI 537117109
Phone: (608) 661-7200
Type: Location
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 $35.
Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.
Last reported payment date: 2023-07-20 • Largest payer in this snapshot: Alcon Vision LLC ($19).
Total Amount
$35
General + Research + Ownership
Payments
2
Total payment records
General Amount
$35
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $19 |
| Bausch & Lomb Americas Inc. | $17 |
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: 2010-10-11
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 |
|---|---|---|---|---|
| I20101011001093 | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 181 | 181 | $0 |
| 92133 | Imaging of optic nerve | 23 | 23 | $0 |
| 92004 | New patient complete exam of visual system | 17 | 17 | $0 |
| 92083 | Exam of visual field with extended testing | 15 | 14 | $0 |
Insurance plans in this area (ZIP 53717)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | WI | |
| - | WI | |
| Diagnostic Radiology | IA | |
| Nurse Practitioner | WI | |
| - | WI | |
| Diagnostic Radiology | WI | |
| - | WI | |
| Clinical Social Worker | WI | |
| - | WI | |
| Diagnostic Radiology | WI |
Reviews
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