(INACTIVE) MMC - BEAVER DAM - MOVEMENT & ORTHO, REHAB, PT/OT/ST
NPI 1023310034
Family Medicine - Sports Medicine in Beaver Dam, WI
About (inactive) Mmc - Beaver Dam - Movement & Ortho, Rehab, Pt/ot/st NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
(INACTIVE) MMC - BEAVER DAM - MOVEMENT & ORTHO, REHAB, PT/OT/ST (NPI 1023310034) is a healthcare organization registered as a sports medicine in Beaver Dam, Wisconsin and active in the NPI registry since November 2010. The organization lists Gordon T Edwards, Cfo/coo/ao, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
(inactive) Mmc - Beaver Dam - Movement & Ortho, Rehab, Pt/ot/st is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,444Medicare enrollment records show 1,444 clinicians reassign Medicare billing to (inactive) Mmc - Beaver Dam - Movement & Ortho, Rehab, Pt/Ot/St, which bills Medicare for the services they deliver. Of these, 39 practice at this address and 51 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 65
Nearest to this location (20)
See all 1,444Beaver Dam, WI 53916
Beaver Dam, WI 53916
Beaver Dam, WI 53916
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Beaver Dam Community Hospitals, Inc's NPI number?
The NPI number for Beaver Dam Community Hospitals, Inc is 1023310034. It was assigned to this organization in the NPPES registry on November 23, 2010. The provider is doing business as (inactive) Mmc - Beaver Dam - Movement & Ortho, Rehab, Pt/Ot/St.
Where is Beaver Dam Community Hospitals, Inc located?
Beaver Dam Community Hospitals, Inc is located at 705 S University Ave Ste 150, Beaver Dam, WI 53916. The listed phone number is (920) 219-4009.
What is Beaver Dam Community Hospitals, Inc's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.
Is Beaver Dam Community Hospitals, Inc enrolled in Medicare?
Yes. Beaver Dam Community Hospitals, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Beaver Dam Community Hospitals, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,444 clinicians in 65 Medicare specialties reassign their Medicare billing to Beaver Dam Community Hospitals, Inc. A 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 the clinician's services. The largest specialties are Nurse Practitioner (216), Certified Registered Nurse Anesthetist (CRNA) (159) and Emergency Medicine (131). Of these, 39 practice at this address and 51 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Beaver Dam Community Hospitals, Inc accept?
Health plans from Security Health Plan list Beaver Dam Community Hospitals, Inc 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 Beaver Dam Community Hospitals, Inc was last updated on March 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# (inactive) Mmc - Beaver Dam - Movement & Ortho, Rehab, Pt/ot/st · NPI 1023310034
Sports Medicine organization in Beaver Dam, Wisconsin. Organization record, active in the CMS NPPES registry since November 23, 2010.
## Identity
- **NPI:** 1023310034 (Entity type: Organization)
- **Enumerated:** November 23, 2010
- **Primary specialty:** Family Medicine - Sports Medicine · taxonomy 207QS0010X
- **Legal business name:** Beaver Dam Community Hospitals, Inc
- **Organization subpart:** Yes (part of Marshfield Clinic Health System Inc)
- **Authorized official:** Gordon Edwards, CFO/COO/AO
## Practice location
- **Address:** 705 S UNIVERSITY AVE STE 150, Beaver Dam, WI 53916
- **Phone:** (920) 219-4009 · **Fax:** (920) 219-9709
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,444 clinicians in 65 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (216), Certified Registered Nurse Anesthetist (CRNA) (159), Emergency Medicine (131); 39 practice at this address and 51 within 10 miles; [full list](https://npiprofile.com/npi/1023310034/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1023310034) · Data from the CMS NPPES public registry.