MR. DAVID A KLOSS M.D.
NPI 1003842915
Surgery in Shawano, WI

Q: What is David Kloss's NPI number?

The NPI number for David Kloss is 1003842915. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Q: What is David Kloss's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for David Kloss was last updated on June 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 23, 2006PECOS Enrolled

100/100

CMS Quality Rating

100 COUNTY ROAD B, SHAWANO, WI 54166(715) 524-2161(715) 524-8164 Get Directions Write a Review

NPPES record last updated: June 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2019, Oct 17, 2016 (2 updates tracked since 2016).

On this page

About Mr. David A Kloss M.d. NPPES

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

MR. DAVID A KLOSS M.D. (NPI 1003842915) is an individual surgery provider in Shawano, Wisconsin, licensed in Wisconsin (68403) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Wadena.

NPPES Registry Identity

NPI1003842915

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameMR. DAVID A KLOSSCredential: M.D.

Location Address100 COUNTY ROAD BShawano, WI 54166-7072

Mailing Address415 Jefferson St North, Tri-county HospitalWadena, MN 56482-1296 · (218) 631-3510 · Fax (218) 631-7507

Phone(715) 524-2161

Fax(715) 524-8164

Sole ProprietorNo

Enumeration DateJune 23, 2006

Last NPPES UpdateJune 5, 20192 updates tracked since enumeration

✔ NPI 1003842915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in WI · 68403✔ Licensed in MN · 54709

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSpecialistTaxonomy 174400000X · License 033503 (CT)

100 COUNTY ROAD B, Shawano, WI 54166

Open in Google Maps ↗

Secondary Practice Location 1

Location 1415 Jefferson St North, Tri-County HospitalWadena, MN 56482-1296 · Phone (218) 631-3510 · Fax (218) 631-7507

Other Identifiers 9

Other001335034CT · Blue Care Family Plan

OtherP02113CT · Cha

Medicaid001335034CT

Other335030CT · Connecticare

OtherWIS020CT · Oxford

Other010033503CT01CT · Anthem Bc / Bs

Other1144213006CT · Cigna

Other0706347CT · Aetna / Us Healthcare

Other030515CT · Healthnet

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David A Kloss 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54166 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

100

Improvement Activities

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.

SHOPKO STORES OPERATING CO., LLC

Pharmacy (Community/Retail Pharmacy)