EDWARD ST VILLE M.D
NPI 1003838111
Radiology - Diagnostic Radiology in St Francis, WI

Active since July 25, 2006PECOS Enrolled
2000 E LAYTON AVE, ST FRANCIS, WI 53235(414) 744-6589 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 9, 2024, Nov 24, 2021, Nov 5, 2021 (3 updates tracked since 2021).

About Edward St Ville M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD ST VILLE M.D (NPI 1003838111) is an individual diagnostic radiology provider in St Francis, Wisconsin, licensed in Wisconsin (36436) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in New Berlin.

NPPES Registry Identity

NPI1003838111
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameEDWARD ST VILLECredential: M.D
Location Address2000 E LAYTON AVESt Francis, WI 53235-6053
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateSeptember 9, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1003838111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in WI · 36436
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2000 E LAYTON AVE, St Francis, WI 53235

Secondary Practice Location 1

Location 12875 S 171st StNew Berlin, WI 53151-3511 · Phone (262) 786-3107 · Fax (262) 780-0442

Other Identifiers 1

Medicaid32246200WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward St Ville M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Edward St Ville reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
45 TOWER CT, SUITE C
Gurnee, IL 60031
  • Reassigned Medicare billing, Illinois and Wisconsin enrollments
  • 62 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
79 services79 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
76 services76 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
59 services59 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
55 services55 patients
Ct scan of chest with contrast 71260
A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
54 services54 patients
Imaging for evaluation of swallowing function 74230
This process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
2000 E LAYTON AVE
ST FRANCIS, WI 53235
Physical Therapist
2000 E LAYTON AVE
ST FRANCIS, WI 53235
Radiology (Diagnostic Radiology)
2000 E LAYTON AVE
ST FRANCIS, WI 53235
Internal Medicine
2000 E LAYTON AVE
SAINT FRANCIS, WI 53235
Radiology (Diagnostic Radiology)
2000 E LAYTON AVE
ST FRANCIS, WI 53235
Technician/Technologist (Optician)
2000 E LAYTON AVE, SUITE 110
MILWAUKEE, WI 53235
Specialist/Technologist (Athletic Trainer)
2000 E LAYTON AVE
SAINT FRANCIS, WI 53235
Nurse Practitioner (Family)
2000 E LAYTON AVE
ST FRANCIS, WI 53235

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward St Ville's NPI number?

The NPI number for Edward St Ville is 1003838111. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Edward St Ville located?

Edward St Ville practices at 2000 E Layton Ave, St Francis, WI 53235. The listed phone number is (414) 744-6589.

What is Edward St Ville's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Edward St Ville enrolled in Medicare?

Yes. Edward St Ville is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edward St Ville's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward St Ville reassigns Medicare benefits to Amg Illinois Ltd (Gurnee, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward St Ville's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward St Ville accept?

Health plans from CareSource (Common Ground Healthcare) list Edward St Ville as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edward St Ville was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.