MEGAN L. SCHULTZ MD
NPI 1043572480
Pediatrics in Milwaukee, WI

Active since June 12, 2012PECOS Enrolled
80.46/100
CMS Quality Rating
9000 W WISCONSIN AVE, PEDIATRIC EMERGENCY MEDICINE, MILWAUKEE, WI 53226(414) 266-2625(414) 266-2635 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Megan L. Schultz Md NPPES

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

MEGAN L. SCHULTZ MD (NPI 1043572480) is an individual pediatrics provider in Milwaukee, Wisconsin, licensed in Wisconsin (64068) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043572480
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMEGAN L. SCHULTZCredential: MD
Location Address9000 W WISCONSIN AVE, PEDIATRIC EMERGENCY MEDICINEMilwaukee, WI 53226-4874
Mailing Address9000 W Wisconsin Ave, Pediatric Emergency MedicineMilwaukee, WI 53226-4874 · (414) 266-2625 · Fax (414) 266-2635
Fax(414) 266-2635
Sole ProprietorNo
Enumeration DateJune 12, 2012
Last NPPES UpdateJune 30, 2015
✔ NPI 1043572480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in WI · 64068✔ Licensed in MA · L-251428
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9000 W WISCONSIN AVE, Milwaukee, WI 53226

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Megan L. Schultz Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Megan Schultz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
9000 W WISCONSIN AVE
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Childrens Specialty Group Inc
  • 424 clinicians in this Medicare group
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

Nurse Practitioner (Pediatrics)
9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE
MILWAUKEE, WI 53226
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics (Pediatric Endocrinology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Dietitian, Registered
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Social Worker (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Psychologist (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226

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 Megan Schultz's NPI number?

The NPI number for Megan Schultz is 1043572480. It was assigned to this individual provider in the NPPES registry on June 12, 2012.

Where is Megan Schultz located?

Megan Schultz practices at 9000 W Wisconsin Ave Pediatric Emergency Medicine, Milwaukee, WI 53226. The listed phone number is (414) 266-2625.

What is Megan Schultz's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Megan Schultz enrolled in Medicare?

Yes. Megan Schultz is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Megan Schultz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Schultz reassigns Medicare benefits to 2 organizations: Children's Specialty Group, Inc. (Milwaukee, WI) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). Each 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 Megan Schultz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Schultz accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Megan Schultz 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 Megan Schultz was last updated on June 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.