DR. EKMINI WIJESINGHE MD
NPI 1013281476
Hospitalist in Green Bay, WI

Active since March 02, 2012PECOS EnrolledAccepts Medicare Assignment
835 S VAN BUREN ST, ST VINCENT HOSPITAL, GREEN BAY, WI 54301(920) 272-1586 Get Directions Write a Review

NPPES record last updated: November 9, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ekmini Wijesinghe Md NPPES

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

DR. EKMINI WIJESINGHE MD (NPI 1013281476) is an individual hospitalist provider in Green Bay, Wisconsin, licensed in Wisconsin (57189) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Doctors Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1013281476
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. EKMINI WIJESINGHECredential: MD
Location Address835 S VAN BUREN ST, ST VINCENT HOSPITALGreen Bay, WI 54301-3526
Mailing Address835 S. Van Buren St, St Vincent HospitalGreen Bay, WI 54307-3508
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 2, 2012
Last NPPES UpdateNovember 9, 2012
NPI 1013281476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in WI · 57189
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

835 S VAN BUREN ST, Green Bay, WI 54301

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. Ekmini Wijesinghe 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 ID3678720174
PECOS Enrollment IDI20150309002145
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
463 services130 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
55 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
39 services37 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Doctors Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110177
Location3651 Wheeler RoadAugusta, GA 30909 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
94%373 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$621.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pediatrics
835 S VAN BUREN ST, ROOM 1041
GREEN BAY, WI 54301
Radiology (Radiation Oncology)
835 S VAN BUREN ST
GREEN BAY, WI 54301
Anesthesiology
835 S VAN BUREN ST
GREEN BAY, WI 54301
Internal Medicine
835 S VAN BUREN ST
GREEN BAY, WI 54301
Anesthesiology
835 S VAN BUREN ST
GREEN BAY, WI 54301
Physician Assistant
835 S VAN BUREN ST
GREEN BAY, WI 54301
Pathology (Anatomic Pathology & Clinical Pathology)
835 S VAN BUREN ST
GREEN BAY, WI 54301
Nurse Practitioner
835 S VAN BUREN ST
GREEN BAY, WI 54301

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 Ekmini Wijesinghe's NPI number?

The NPI number for Ekmini Wijesinghe is 1013281476. It was assigned to this individual provider in the NPPES registry on March 2, 2012.

Where is Ekmini Wijesinghe located?

Ekmini Wijesinghe practices at 835 S Van Buren St St Vincent Hospital, Green Bay, WI 54301. The listed phone number is (920) 272-1586.

What is Ekmini Wijesinghe's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ekmini Wijesinghe enrolled in Medicare?

Yes. Ekmini Wijesinghe 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.

Is Ekmini Wijesinghe affiliated with any hospitals?

According to CMS data, Ekmini Wijesinghe is affiliated with Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Ekmini Wijesinghe was last updated on November 9, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.