DOUGLAS PIERCE MD
NPI 1043715758
Radiology - Diagnostic Radiology in Milwaukee, WI
About Douglas Pierce Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOUGLAS PIERCE MD (NPI 1043715758) is an individual diagnostic radiology provider in Milwaukee, Wisconsin, licensed in Wisconsin (73954) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with St Josephs Community Hospital West Bend, and maintains 7 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 7
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Douglas Pierce 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.
Medicare Billing Reassignments
2Medicare enrollment records show Douglas Pierce reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- 3,983 clinicians in this Medicare group
Menomonee Falls, WI 53051
- Reassigned Medicare billing, Wisconsin enrollment
- 2,294 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.
Areas of Expertise CMS Part B claims 25
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Josephs Community Hospital West Bend
Acute Care Hospitals · West Bend, WICommunity Memorial Hospital
Acute Care Hospitals · Menomonee Falls, WIFroedtert Memorial Lutheran Hospital
Acute Care Hospitals · Milwaukee, WIFroedtert Community Hospital
Acute Care Hospitals · New Berlin, WIPhysician 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.
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.
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
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 Douglas Pierce's NPI number?
The NPI number for Douglas Pierce is 1043715758. It was assigned to this individual provider in the NPPES registry on March 26, 2018.
Where is Douglas Pierce located?
Douglas Pierce practices at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 805-2060.
What is Douglas Pierce's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Douglas Pierce enrolled in Medicare?
Yes. Douglas Pierce 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.
Which organizations bill Medicare for Douglas Pierce's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Pierce reassigns Medicare benefits to 2 organizations: The Medical College Of Wisconsin, Inc. (Milwaukee, WI) and Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, 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 Douglas Pierce's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Douglas Pierce accept?
Health plans from Anthem Blue Cross and Blue Shield list Douglas Pierce 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 Douglas Pierce affiliated with any hospitals?
According to CMS data, Douglas Pierce is affiliated with St Josephs Community Hospital West Bend, Community Memorial Hospital, Froedtert Memorial Lutheran Hospital and Froedtert Community Hospital.
When was this NPI record last updated?
The NPPES record for Douglas Pierce was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.