DR. KOSTANDINOS TSOULFAS MD
NPI 1013088277
Pain Medicine - Pain Medicine in Greenfield, WI

Active since November 10, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4131 W LOOMIS RD, #300, GREENFIELD, WI 53221(414) 325-7246(414) 325-3770 Get Directions Write a Review

NPPES record last updated: February 24, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kostandinos Tsoulfas Md NPPES

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

DR. KOSTANDINOS TSOULFAS MD (NPI 1013088277) is an individual pain medicine provider in Greenfield, Wisconsin, licensed in Wisconsin (49097-020) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Other (2002).

NPPES Registry Identity

NPI1013088277
Entity TypeIndividualMale
Primary Taxonomy208VP0000X
Provider Legal NameDR. KOSTANDINOS TSOULFASCredential: MD
Location Address4131 W LOOMIS RD, #300Greenfield, WI 53221-2051
Mailing Address4131 W Loomis Rd, #300Greenfield, WI 53221-2051 · (414) 325-7246 · Fax (414) 325-3770
Fax(414) 325-3770
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 10, 2006
Last NPPES UpdateFebruary 24, 2014
NPI 1013088277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
License Licensed in WI · 49097-020
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 49097 (WI)
4131 W LOOMIS RD, Greenfield, WI 53221

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kostandinos Tsoulfas Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103929658
PECOS Enrollment IDI20070321000405
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.

Areas of Expertise CMS Part B claims 12

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.

Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, each additional 20 minutes per calendar month 98981
Remote therapeutic monitoring treatment management services involve a healthcare professional monitoring your health remotely. They evaluate data from medical devices, adjust your treatment plan if necessary, and communicate with you about your health. This service is for an additional 20 minutes per month.
481 services90 patients
Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, first 20 minutes per calendar month 98980
Remote therapeutic monitoring treatment management services involve a healthcare professional monitoring your health data remotely. This could include vital signs or other health information. The professional will manage your treatment for the first 20 minutes each month, adjusting as necessary based on the data received.
375 services102 patients
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096
This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.
62 services39 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
52 services46 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
46 services30 patients
Injection of lower or sacral spine facet joint using imaging guidance, second level 64494
This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.
46 services30 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53221 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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
Promoting Interoperability99
Improvement Activities40

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.

Physical Therapist
4131 W LOOMIS RD
GREENFIELD, WI 53221
Physical Therapist
4131 W LOOMIS RD, #200
GREENFIELD, WI 53221
Nurse Practitioner
4131 W LOOMIS RD, SUITE 300
GREENFIELD, WI 53221
Physical Therapy Assistant
4131 W LOOMIS RD
GREENFIELD, WI 53221
Nurse Practitioner
4131 W LOOMIS RD, SUITE 300
GREENFIELD, WI 53221
Nurse Practitioner (Adult Health)
4131 W LOOMIS RD, SUITE 300
GREENFIELD, WI 53221
Anesthesiology
4131 W LOOMIS RD, STE 300
GREENFIELD, WI 53221
Physical Therapist
4131 W LOOMIS RD, SUITE 110
GREENFIELD, WI 53221

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 Kostandinos Tsoulfas's NPI number?

The NPI number for Kostandinos Tsoulfas is 1013088277. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Where is Kostandinos Tsoulfas located?

Kostandinos Tsoulfas practices at 4131 W Loomis Rd #300, Greenfield, WI 53221. The listed phone number is (414) 325-7246.

What is Kostandinos Tsoulfas's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Kostandinos Tsoulfas enrolled in Medicare?

Yes. Kostandinos Tsoulfas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kostandinos Tsoulfas accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Kostandinos Tsoulfas 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.

Is Kostandinos Tsoulfas affiliated with any hospitals?

According to CMS data, Kostandinos Tsoulfas is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Kostandinos Tsoulfas was last updated on February 24, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.