MR. DANIEL R EVERTS (OD) – Optometrist, NPI 1811968878

MR. DANIEL R EVERTS (OD) is a healthcare provider. based in Waupaca, Wisconsin. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2753 (WI). The NPI Number for MR. DANIEL R EVERTS (OD) is 1811968878

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
MR. DANIEL R EVERTS (OD)
NPI
1811968878
Phone
(715) 258-8168
Address
308 W FULTON ST
Enumeration Date
30 January 2006
Last Update Date
18 July 2011

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7152588168
Graduation Year
1999 (27 years ago)
PAC ID
8527081876
Group Practice PAC ID
5890718142
Professional Enrollment ID
I20060116000081
Address ID
WI549811422WA308XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

798 OPTOMETRY in WI

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Provider Addresses for MR. DANIEL R EVERTS (OD)

  • 308, West Fulton Street, Waupaca, Waupaca County, Wisconsin, 54981, United States

    WAUPACA, WI 54981

    Phone: (715) 258-8168

    Fax: (715) 258-8436

    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 7 Open Payments records for all available years, with a total value of $584.

Total Amount is formed as General ($584) + Research ($0) + Ownership ($0) = $584.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Alcon Vision LLC ($514).

Total Amount

$584

General + Research + Ownership

Payments

7

Total payment records

General Amount

$584

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

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: 2006-01-16

PECOS data refreshed: 2026-06-15

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
I20060116000081IOptometryWITBD

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 system185184$0
99214Established patient office or other outpatient visit, 30-39 minutes8542$0
92133Imaging of optic nerve6858$0
92083Exam of visual field with extended testing4939$0
92134Imaging of retina3228$0
View full utilization report →

Insurance plans in this area (ZIP 54981)

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Provider's Procedures

MR. DANIEL R EVERTS (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYWI92012Eye and medical examination for diagnosis and treatment, established patient13566
OPTOMETRYWI92083Measurement of field of vision during daylight conditions4844
OPTOMETRYWI92134Diagnostic imaging of retina3427

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: 5890718142View full group profile
NameSpecialtyState
-WI
O P T O M E T R YWI

Reviews

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Frequently asked questions

Can I verify MR. DANIEL R EVERTS (OD) with an NPI only?
You can start verification with NPI 1811968878 for MR. DANIEL R EVERTS (OD), then check state licensing separately.
Does CMS list MR. DANIEL R EVERTS (OD) as active?
Yes — MR. DANIEL R EVERTS (OD) is active in the NPI listing used on this page.
What taxonomy line describes MR. DANIEL R EVERTS (OD)?
For research purposes, treat MR. DANIEL R EVERTS (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is MR. DANIEL R EVERTS (OD) based?
MR. DANIEL R EVERTS (OD) is tied to Waupaca, Wisconsin in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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