Edward Koutnik, O.D.
NPI 1952785578 · Optometrist · Stoughton, WI
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edward Koutnik, O.D. is a Optometrist provider in Stoughton, WI (NPI 1952785578).
Provider details
- NPI number
- 1952785578
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3612-35 (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
10 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
538 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) |
|---|---|---|
| Microfluid Analysis of Tears83861 | 140 | $22 |
| Analysis of Substance Using Immunoassay Technique, Multiple Step Method83516 | 134 | $11 |
| Established Patient Complete Exam of Visual System92014 | 55 | $126 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 39 | $93 |
| Closure of Tear Duct Opening Using Plug68761 | 35 | $205 |
| New Patient Complete Exam of Visual System92004 | 29 | $145 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 183 | 69 |
| Cyclosporinebrand: Restasis | 115 | 43 |
| Lifitegrastbrand: Xiidra | 58 | 26 |
| Bimatoprostbrand: Lumigan | 54 | 14 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 51 | 23 |
| Latanoprostene Bunodbrand: Vyzulta | 49 | 15 |
| Travoprost | 38 | 13 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$395 across 14 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
- 2015-07-14
- Last updated
- 2024-07-23
- Certified
- 2024-07-23
Frequently asked questions
- What is Edward Koutnik's NPI number?
- Edward Koutnik's National Provider Identifier (NPI) is 1952785578, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edward Koutnik's specialty?
- Edward Koutnik is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Edward Koutnik located?
- Edward Koutnik's practice location on file with NPPES is 2300 US Highway 51 and 138 Ste E, Stoughton, WI 53589-2080.
- What is Edward Koutnik's phone number?
- The practice phone number listed in the NPPES registry for Edward Koutnik is (608) 205-6810.
- Does Edward Koutnik accept Medicare?
- Edward Koutnik is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edward Koutnik's NPI active?
- Yes — Edward Koutnik's NPI (1952785578) is active in the NPPES registry as of the last update on 2024-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.