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MICHAEL H ZEIHEN MD
NPI 1043266992
Internal Medicine in Kenosha, WI

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
79.61/100
CMS Quality Rating
6308 8TH AVE, SUITE 2000, KENOSHA, WI 53143(262) 653-5300(262) 653-5412 Get Directions Write a Review

NPPES record last updated: March 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael H Zeihen Md NPPES

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

MICHAEL H ZEIHEN MD (NPI 1043266992) is an individual internal medicine provider in Kenosha, Wisconsin, licensed in Wisconsin (19746) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Medical College Of Wisconsin (1974).

NPPES Registry Identity

NPI1043266992
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL H ZEIHENCredential: MD
Location Address6308 8TH AVE, SUITE 2000Kenosha, WI 53143-5031
Mailing Address6308 8th Ave, Suite 2000Kenosha, WI 53143-5031 · (262) 653-5300 · Fax (262) 653-5412
Phone(262) 653-5300
Fax(262) 653-5412
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1974
Enumeration DateMay 25, 2006
Last NPPES UpdateMarch 14, 2008
✔ NPI 1043266992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 19746
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6308 8TH AVE, Kenosha, WI 53143
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Other Identifiers 2

Medicaid30262200WI
Medicare UPINB57817

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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

Michael H Zeihen 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 ID3476688177
PECOS Enrollment IDI20100319000667
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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
323 services198 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
290 services220 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 53143 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.

79.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.88
Promoting Interoperability100
Improvement Activities40
Cost61.15

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers53 claims156 services$5.13 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers24 claims34 services$0.91 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier49 claims49 services$9.76 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers78 claims78 services$51.65 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$28.58 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers11 claims1,259 services$0.09 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.

GINA GAMBUCCI MS, LAT, ATC, OTC
Specialist/Technologist (Athletic Trainer)
6308 8TH AVE
KENOSHA, WI 53143
Kenosha County (262) 656-2011
HANNA MARIANI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6308 8TH AVE, STE 3070
KENOSHA, WI 53143
Kenosha County (262) 656-3710
RAYMOND W KNIGHT MD
Internal Medicine (Hematology & Oncology)
6308 8TH AVE, STE 2000
KENOSHA, WI 53143
Kenosha County (262) 653-5300
BRADLEY N. HAUGSTAD, M.D., S.C.
Anesthesiology
6308 8TH AVE
KENOSHA, WI 53143
Kenosha County (262) 656-2011
JIMALEEN DELABIO
General Acute Care Hospital
6308 8TH AVE
KENOSHA, WI 53143
Kenosha County (262) 656-3290
KENOSHA VASCULAR LAB INC
Specialist
6308 8TH AVE, SUITE 301
KENOSHA, WI 53143
Kenosha County (262) 656-8265
MARK R VYTLACIL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
6308 8TH AVE
KENOSHA, WI 53143
Kenosha County (262) 656-2943
MISS SARAH RENS PA-C
Physician Assistant (Surgical)
6308 8TH AVE
KENOSHA, WI 53143
Kenosha County (262) 656-3590

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 Michael Zeihen's NPI number?

The NPI number for Michael Zeihen is 1043266992. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Michael Zeihen located?

Michael Zeihen practices at 6308 8th Ave Suite 2000, Kenosha, WI 53143. The listed phone number is (262) 653-5300.

What is Michael Zeihen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Zeihen enrolled in Medicare?

Yes. Michael Zeihen 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 Michael Zeihen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and Network Health list Michael Zeihen 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 Michael Zeihen affiliated with any hospitals?

According to CMS data, Michael Zeihen is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Michael Zeihen was last updated on March 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.