Alwin Edakkunnathu, O.D.
NPI 1467899609ActiveIndividual· Optometrist· Glendale, WI
Optometrist (O.D.) in Glendale, Wisconsin, trained at Illinois College of Optometry at Chicago (class of 2009). Their prescriptions cost Medicare Part D more than their services did: $105,396 for 844 claims, against $54,342 paid for services in 2024.
Overview
| NPI | 1467899609 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | No |
| NPI issued | May 29, 2013 |
| Last updated in NPPES | Apr 17, 2021 |
| Certified by provider | Apr 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 3300-35 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 420 |
|---|---|
| Services billed | 1,006 across 19 procedure codes |
| Paid by Medicare | $54,342 |
Part D prescriptions in 2024
| Prescriptions (claims) | 844 · 1,617 30-day fills |
|---|---|
| Patients | 286 |
| Total drug cost | $105,396 |
| Generic share | 67% of claims |
Education and affiliations
| Medical school | Illinois College of Optometry at Chicago |
|---|---|
| Graduation year | 2009 |
| Medicare specialty | Optometry |
Medical group
- Madison Medical Affiliates IncMilwaukee, WI · 86 clinicians
Hospital affiliation
- Ascension Columbia St Marys Hospital MilwaukeeMilwaukee, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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