MRS. ROXANNE DOYLE KESZO (OD) – Optometrist, NPI 1821063009

MRS. ROXANNE DOYLE KESZO (OD) is a healthcare provider. based in Shawano, Wisconsin. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2963-035 (WI). The NPI Number for MRS. ROXANNE DOYLE KESZO (OD) is 1821063009

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ROXANNE DOYLE KESZO (OD)
NPI
1821063009
Phone
(715) 526-3163
Address
PO BOX 513
Enumeration Date
21 February 2006
Last Update Date
11 May 2022

Doctor Profile

Medical School Name
FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Secondary Phone
7156233620
Graduation Year
2003 (23 years ago)
PAC ID
7012801004
Group Practice PAC ID
1456684471
Professional Enrollment ID
I20040211000114
Address ID
WI544092912AN2325XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

798 OPTOMETRY in WI

Provider Addresses for MRS. ROXANNE DOYLE KESZO (OD)

  • PO BOX 513

    SHAWANO, WI 541660513

    Phone: (715) 526-3163

    Fax: (715) 526-4019

    Type: Mailing

  • 150A COUNTY RD B

    SHAWANO, WI 541667072

    Phone: (715) 526-3163

    Fax: (715) 526-4019

    Type: Location

  • 525, Airport Drive, Oneida, Hobart, Brown County, Wisconsin, 54155, United States

    ONEIDA, WI 541559035

    Phone: (920) 869-4921

    Fax: (920) 869-6327

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-02-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040211000114IOptometryWITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6664$0
92250Photography of the retina2625$0
99213Established patient office or other outpatient visit, 20-29 minutes1313$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 54166)

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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: 1456684471View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. ROXANNE DOYLE KESZO (OD)?
MRS. ROXANNE DOYLE KESZO (OD) — NPI 1821063009 — is the standard way to identify this listing.
Does the file indicate MRS. ROXANNE DOYLE KESZO (OD) is practicing under active NPI?
Directory data currently reports MRS. ROXANNE DOYLE KESZO (OD) as active.
What is MRS. ROXANNE DOYLE KESZO (OD)'s primary classification?
Optometrist is the headline specialty for MRS. ROXANNE DOYLE KESZO (OD) here. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. ROXANNE DOYLE KESZO (OD) on a map?
Expect Shawano, Wisconsin as a primary anchor for MRS. ROXANNE DOYLE KESZO (OD) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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