JAMES FREDERICK DUSENBERRY (O.D.) – Optometrist, NPI 1871539619

JAMES FREDERICK DUSENBERRY (O.D.) is a healthcare provider. based in Jefferson, Wisconsin. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2804-035 (WI). The NPI Number for JAMES FREDERICK DUSENBERRY (O.D.) is 1871539619

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
JAMES FREDERICK DUSENBERRY (O.D.)
NPI
1871539619
Phone
(920) 988-0431
Address
1145 WENZEL CT
Enumeration Date
21 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
9205632171
Graduation Year
1999 (27 years ago)
PAC ID
6406817436
Group Practice PAC ID
1456684471
Professional Enrollment ID
I20041022001003
Address ID
WI535383101FO1640XAVEX300
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

798 OPTOMETRY in WI

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Provider Addresses for JAMES FREDERICK DUSENBERRY (O.D.)

  • 1145, Wenzel Court, Jefferson, Jefferson County, Wisconsin, 53549, United States

    JEFFERSON, WI 535492218

    Phone: (920) 988-0431

    Type: Mailing

  • 825, West Moreland Boulevard, Waukesha, Waukesha County, Wisconsin, 53188, United States

    WAUKESHA, WI 531882963

    Phone: (262) 542-9610

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $81.

Total Amount is formed as General ($81) + Research ($0) + Ownership ($0) = $81.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($66).

Total Amount

$81

General + Research + Ownership

Payments

4

Total payment records

General Amount

$81

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2004-10-22

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
I20041022001003IOptometryWITBD

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 system1616$0
View full utilization report →

Insurance plans in this area (ZIP 53549)

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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

Does JAMES FREDERICK DUSENBERRY (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JAMES FREDERICK DUSENBERRY (O.D.) uses 1871539619.
Can I rely on JAMES FREDERICK DUSENBERRY (O.D.) being an active provider?
As of the registry snapshot, JAMES FREDERICK DUSENBERRY (O.D.) is marked active.
What healthcare role does JAMES FREDERICK DUSENBERRY (O.D.) hold?
Scheduling teams often label JAMES FREDERICK DUSENBERRY (O.D.) under Optometrist. Clinical services aligned with this taxonomy classification.
Does JAMES FREDERICK DUSENBERRY (O.D.) list a practice location?
Patients near Jefferson, Wisconsin may find JAMES FREDERICK DUSENBERRY (O.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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