DR. AMANDA LYNN KOPCZYK (O.D.) – Optometrist, NPI 1982964730
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
798 OPTOMETRY in WI
Provider Addresses for DR. AMANDA LYNN KOPCZYK (O.D.)
16800 W CLEVELAND AVE
NEW BERLIN, WI 531513533
Phone: (262) 923-7298
Fax: (262) 923-7299
Type: Mailing
12876 W BLUEMOUND RD
ELM GROVE, WI 531222605
Phone: (262) 432-0052
Fax: (262) 923-7610
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 52 Open Payments records for all available years, with a total value of $2,166.
Total Amount is formed as General ($2,166) + Research ($0) + Ownership ($0) = $2,166.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($1,224).
Total Amount
$2,166
General + Research + Ownership
Payments
52
Total payment records
General Amount
$2,166
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Vision Care, Inc. | $1,224 |
| Bausch & Lomb Americas Inc. | $241 |
| Alcon Vision LLC | $183 |
| BIOTISSUE HOLDINGS, INC. | $156 |
| Glaukos Corporation | $125 |
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: 2012-08-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1017 days ago).
Enrollment records
1
Earliest due date
2023-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120814000401 | I | Optometry | WI | 2023-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 16 | $0 |
Insurance plans in this area (ZIP 53151)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | WI | |
| O P T O M E T R Y | VA | |
| - | WI |
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