Dr. Nathaniel C Harkins , OD
Optometrist • Madison, WI
1025 Regent St
Madison, WI 537151248
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
NPI assigned on July 5, 2011; this date does not establish years in practice.
-
Published CMS data list 5,213 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- 66984 — Removal of cataract with insertion of prosthetic lens: 3,600 service units.
- 92014 — Established patient complete exam of visual system: 483 service units.
- 92134 — Imaging of retina: 290 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 14 records in the table · Guide: How to read Medicare Part B data
-
Published CMS data list 327 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Latanoprost — 133 prescription fills, including refills.
- Dorzolamide Hcl — 47 prescription fills, including refills.
- Dorzolamide-Timolol (Dorzolamide Hcl/Timolol Maleat) — 39 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 8 records in the table · Guide: How to read Medicare Part D prescriber data
-
More Medicare Part B services than 95% of clinicians listed under Optometrist in Madison, WI (2024, 50 clinicians with data). Median for this group: 671. Middle half: 202 to 1,604.
More Medicare Part B services than 95% of clinicians listed under Optometrist in Wisconsin (2024, 652 clinicians with data). Median for this group: 347. Middle half: 109 to 1,094.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 2,355 in 2020 to 5,213 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1025 Regent St
Madison, WI 537151248
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Dean Health Systems Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Southern College Of Optometry
2011
What Public CMS Data Show
Optometrist: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
834 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $140,275 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $88,882 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
633 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$14,625 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
Years since graduation
15 years (graduated 2011)
CMS Doctors and Clinicians data list 2011 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2011
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Harkins has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Harkins as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Madison and Wisconsin
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Optometrist in Madison, WI (2024, 50 clinicians with data). Median for this group: 671. Middle half: 202 to 1,604.
More Medicare Part B services than 95% of clinicians listed under Optometrist in Wisconsin (2024, 652 clinicians with data). Median for this group: 347. Middle half: 109 to 1,094.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Optometrist in Madison, WI (2024, 50 clinicians with data). Median for this group: $44,468. Middle half: $18,044 to $65,085.
A higher Medicare-allowed amount than 95% of clinicians listed under Optometrist in Wisconsin (2024, 652 clinicians with data). Median for this group: $27,020. Middle half: $9,199 to $50,035.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Optometrist in Madison, WI (2024, 50 clinicians with data). Median for this group: $27,869. Middle half: $10,700 to $39,879.
A higher Medicare payment amount than 95% of clinicians listed under Optometrist in Wisconsin (2024, 652 clinicians with data). Median for this group: $16,916. Middle half: $5,652 to $32,230.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Optometrist in Madison, WI (2024, 42 clinicians with data). Median for this group: 95. Middle half: 36 to 325.
More Part D prescriptions than 65% of clinicians listed under Optometrist in Wisconsin (2024, 588 clinicians with data). Median for this group: 158. Middle half: 54 to 405.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Optometrist in Madison, WI (2024, 42 clinicians with data). Median for this group: $5,573. Middle half: $428 to $18,222.
Close to the middle for clinicians listed under Optometrist in Wisconsin (2024, 588 clinicians with data). Median for this group: $9,438. Middle half: $961 to $33,359.
76 active clinicians are listed under Optometrist with a practice address in Madison, WI (1,161 in Wisconsin).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Madison
0% of these 76 clinicians have the CMS telehealth indicator.
72.4% of these 76 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services increased 121% from 2,355 in 2020 to 5,213 in 2024.
- 2020: 2,355
- 2021: 6,061
- 2022: 5,631
- 2023: 7,445
- 2024: 5,213
-
Medicare-allowed amount
Medicare-allowed amount increased 41% from $99,678 in 2020 to $140,275 in 2024.
- 2020: $99,678
- 2021: $131,075
- 2022: $130,565
- 2023: $152,560
- 2024: $140,275
-
Paid by Medicare
Paid by Medicare increased 50% from $59,179 in 2020 to $88,882 in 2024.
- 2020: $59,179
- 2021: $81,399
- 2022: $78,539
- 2023: $96,207
- 2024: $88,882
-
Medicare Part D prescriptions
Medicare Part D prescriptions stayed about the same: 318 in 2020 and 327 in 2024.
- 2020: 318
- 2021: 390
- 2022: 350
- 2023: 388
- 2024: 327
-
30-day fills
30-day fills increased 14% from 555 in 2020 to 633 in 2024.
- 2020: 555
- 2021: 696
- 2022: 644
- 2023: 730
- 2024: 633
-
Part D drug cost
Part D drug cost decreased 45% from $26,410 in 2020 to $14,625 in 2024.
- 2020: $26,410
- 2021: $31,421
- 2022: $22,038
- 2023: $21,245
- 2024: $14,625
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
66984
Removal of cataract with insertion of prosthetic lens
|
3,600 | 26 | $84.70 | $1.12 |
|
92014
Established patient complete exam of visual system
|
483 | 483 | $396.50 | $119.53 |
|
92134
Imaging of retina
|
290 | 225 | $224.00 | $38.05 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
228 | 174 | $256.00 | $85.34 |
|
92133
Imaging of optic nerve
|
175 | 175 | $210.00 | $32.26 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
162 | 153 | $361.00 | $120.69 |
|
92083
Exam of visual field with extended testing
|
158 | 151 | $394.00 | $59.86 |
|
92004
New patient complete exam of visual system
|
40 | 40 | $472.00 | $141.84 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
18 | 18 | $357.00 | $103.88 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
13 | 13 | $544.00 | $156.23 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
13 | 13 | $506.00 | $169.33 |
|
76514
Ultrasound scan of cornea to determine thickness
|
11 | 11 | $164.00 | $10.03 |
|
92012
Established patient problem focused exam of visual system
|
11 | 11 | $242.00 | $84.25 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
11 | 11 | $174.00 | $50.00 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Latanoprost | Latanoprost | 133 | 6,609 | $1,436.79 | 38 |
| Dorzolamide Hcl | Dorzolamide Hcl | 47 | 2,989 | $721.41 | 13 |
| Dorzolamide-Timolol | Dorzolamide Hcl/Timolol Maleat | 39 | 2,475 | $650.11 | 12 |
| Timolol Maleate | Timolol Maleate | 39 | 3,034 | $529.50 | 13 |
| Travoprost | Travoprost | 23 | 1,134 | $2,726.95 | — |
| Ketorolac Tromethamine | Ketorolac Tromethamine | 17 | 598 | $237.88 | — |
| Brimonidine Tartrate | Brimonidine Tartrate | 16 | 1,005 | $1,287.98 | — |
| Lumigan | Bimatoprost | 13 | 728 | $7,034.70 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-11-18NUCC Taxonomy Code: 152W00000X
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - OPTOMETRY
I20131023002083
WI
9436384625
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Dean Health Systems Inc
1025 Regent St, Madison, WI 537151248
Phone: 6082822000
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Ophthalmology
Doctor of Osteopathic Medicine (D.O.)
Ophthalmology
Doctor of Medicine (M.D.)
Optometrist
Doctor of Optometry
Ophthalmology
Doctor of Medicine (M.D.)
Ophthalmology
Doctor of Medicine (M.D.)
Ophthalmology
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated July 05, 2011.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Optometrists in Madison
- Dr. Stephanie Koss, OD
- Dr. Kelsey Rickels, OD
- Dr. Rachel Glanville, OD
- Dr. Jonathan Garcia Julian, OD
- Dr. Callie Maursetter, OD
- Dr. Andrew Steinhauer, OD
Mailing Address
1025 Regent St
Madison, WI 537151248
Phone: 6082822000