Andrew Congdon, O.D.
NPI 1467866509 · Optometrist · Marinette, WI
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Andrew Congdon, O.D. is a Optometrist provider in Marinette, WI (NPI 1467866509).
Provider details
- NPI number
- 1467866509
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3346-35 (WI)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
5,197 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 2,934 | $1 |
| Complex Removal of Cataract With Insertion of Prosthetic Lens66982 | 1,559 | $2 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 266 | $81 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 173 | $104 |
| Photography of the Retina92250 | 83 | $35 |
| Imaging of Optic Nerve92133 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 279 | 67 |
| Timolol Maleate | 96 | 29 |
| Prednisolone Acetate | 59 | 29 |
| Cyclosporinebrand: Restasis | 32 | 12 |
| Neomycin/Polymyxin B/Dexamethabrand: Neomycin-Polymyxin-Dexameth | 26 | 21 |
| Erythromycin Basebrand: Erythromycin | 21 | 15 |
| Doxycycline Monohydrate | 20 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$102 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-06-17
- Last updated
- 2023-09-21
- Certified
- 2023-09-21
Frequently asked questions
- What is Andrew Congdon's NPI number?
- Andrew Congdon's National Provider Identifier (NPI) is 1467866509, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrew Congdon's specialty?
- Andrew Congdon is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Andrew Congdon located?
- Andrew Congdon's practice location on file with NPPES is 3003 Cleveland Ave, Marinette, WI 54143-3760.
- What is Andrew Congdon's phone number?
- The practice phone number listed in the NPPES registry for Andrew Congdon is (920) 883-0632.
- Does Andrew Congdon accept Medicare?
- Andrew Congdon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Andrew Congdon's NPI active?
- Yes — Andrew Congdon's NPI (1467866509) is active in the NPPES registry as of the last update on 2023-09-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.