DR. MICHAEL J BARDENWERPER (O.D.) – Optometrist, NPI 1801150552

DR. MICHAEL J BARDENWERPER (O.D.) is a healthcare provider. based in West bend, Wisconsin. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3257-35 (WI). The NPI Number for DR. MICHAEL J BARDENWERPER (O.D.) is 1801150552

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL J BARDENWERPER (O.D.)
NPI
1801150552
Phone
(262) 247-2343
Address
1116 N MAIN ST
Enumeration Date
27 June 2012
Last Update Date
12 February 2026

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
2622472343
Graduation Year
2012 (14 years ago)
PAC ID
0345498051
Group Practice PAC ID
4981910999
Professional Enrollment ID
I20120920000536
Address ID
WI530901923WE1116XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Digital endpointsOther names

798 OPTOMETRY in WI

Provider Addresses for DR. MICHAEL J BARDENWERPER (O.D.)

  • 1116 N MAIN ST

    WEST BEND, WI 530901923

    Phone: (262) 247-2343

    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 15 Open Payments records for all available years, with a total value of $636.

Total Amount is formed as General ($636) + Research ($0) + Ownership ($0) = $636.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($620).

Total Amount

$636

General + Research + Ownership

Payments

15

Total payment records

General Amount

$636

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-09-20

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
I20120920000536IOptometryWITBD

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 system4545$0
View full utilization report →

Insurance plans in this area (ZIP 53090)

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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: 4981910999View full group profile
NameSpecialtyState
O P T O M E T R YWI

Reviews

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Frequently asked questions

How do I look up DR. MICHAEL J BARDENWERPER (O.D.) by NPI?
Use NPI 1801150552 when you need to reference DR. MICHAEL J BARDENWERPER (O.D.) in forms, claims, or directories.
Is DR. MICHAEL J BARDENWERPER (O.D.) currently active in the NPI registry?
CMS-published data lists DR. MICHAEL J BARDENWERPER (O.D.) as an active registrant.
What kind of provider is DR. MICHAEL J BARDENWERPER (O.D.)?
The page reflects Optometrist for DR. MICHAEL J BARDENWERPER (O.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MICHAEL J BARDENWERPER (O.D.)?
The page summarizes West Bend, Wisconsin for DR. MICHAEL J BARDENWERPER (O.D.); expand the address list for detail.
How can I contact DR. MICHAEL J BARDENWERPER (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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