JOHN P ROSCULET (MD) – Retina Specialist (Ophthalmology) Physician, NPI 1679580070

JOHN P ROSCULET (MD) is a healthcare provider. based in Neenah, Wisconsin. specializing in Retina Specialist (Ophthalmology) Physician. They hold the professional credentials MD. They hold a License No. 34273020 (WI). The NPI Number for JOHN P ROSCULET (MD) is 1679580070

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
JOHN P ROSCULET (MD)
NPI
1679580070
Phone
(920) 751-8666
Address
200 THEDA CLARK PLAZA
Enumeration Date
1 August 2006
Last Update Date
11 December 2017

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
9202328060
Graduation Year
1988 (38 years ago)
PAC ID
0941291421
Group Practice PAC ID
8224029707
Professional Enrollment ID
I20060412000140
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for JOHN P ROSCULET (MD)

  • 200 THEDA CLARK PLAZA

    SUITE 110

    NEENAH, WI 54956

    Phone: (920) 751-8666

    Fax: (920) 751-8676

    Mailing address matches the actual address.

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 $0.

Total Amount is formed as General ($0) + Research ($0) + Ownership ($0) = $0.

Last reported payment date: • Largest payer in this snapshot: US Retina LLC ($0).

Total Amount

$0

General + Research + Ownership

Payments

2

Total payment records

General Amount

$0

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

2

Ownership records

Last Payment Date

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
US Retina LLC$0
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54956)

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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: 8224029707View full group profile
NameSpecialtyState
O P H T H A L M O L O G YNY
O P H T H A L M O L O G YWI
O P H T H A L M O L O G YWI
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YWI
O P H T H A L M O L O G YWI
O P H T H A L M O L O G YWI

Reviews

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Frequently asked questions

What NPI should I save for JOHN P ROSCULET (MD)?
Save NPI 1679580070 if you need a stable reference for JOHN P ROSCULET (MD).
Is JOHN P ROSCULET (MD) currently active in the NPI registry?
CMS-published data lists JOHN P ROSCULET (MD) as an active registrant.
What kind of provider is JOHN P ROSCULET (MD)?
The page reflects Retina Specialist (Ophthalmology) Physician for JOHN P ROSCULET (MD). Clinical services aligned with this taxonomy classification.
Where is JOHN P ROSCULET (MD)'s primary listing?
We display Neenah, Wisconsin because that is what the record indicates for JOHN P ROSCULET (MD).
Is JOHN P ROSCULET (MD) a real provider?
This page reflects official NPPES data for NPI 1679580070. Always confirm identity and privileges with the practice and licensing boards.

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