DR. KATHRYN R TRANDEM MD, PHD
NPI 1053674770
Urology in Boscobel, WI

Q: What is Kathryn Trandem's NPI number?

The NPI number for Kathryn Trandem is 1053674770. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Q: What is Kathryn Trandem's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Trandem was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 18, 2012PECOS Enrolled

205 PARKER ST, BOSCOBEL, WI 53805(608) 375-4112 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2024, Nov 7, 2023, Jun 14, 2023 and 1 more (4 updates tracked since 2020).

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About Dr. Kathryn R Trandem Md, Phd NPPES

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

DR. KATHRYN R TRANDEM MD, PHD (NPI 1053674770) is an individual urology provider in Boscobel, Wisconsin, licensed in Wisconsin (73669) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1053674770

Entity TypeIndividualFemale

Primary Taxonomy208800000X

Provider Legal NameDR. KATHRYN R TRANDEMCredential: MD, PHD

Location Address205 PARKER STBoscobel, WI 53805-1642

Mailing Address9000 W Wisconsin AveMilwaukee, WI 53226-4874 · (414) 266-3794 · Fax (414) 266-1752

Phone(608) 375-4112

Sole ProprietorNo

Enumeration DateJune 18, 2012

Last NPPES UpdateApril 5, 20244 updates tracked since enumeration

NPPES CertifiedApril 5, 2024

✔ NPI 1053674770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in WI · 73669✔ Licensed in IL · 036.154905

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedUrology · Pediatric UrologyTaxonomy 2088P0231X · License 73669 (WI)

205 PARKER ST, Boscobel, WI 53805

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Secondary Practice Locations 4

Location 19000 W Wisconsin AveMilwaukee, WI 53226-4874 · Phone (414) 266-3794 · Fax (414) 266-1752

Location 22575 E Evergreen DriveAppleton, WI 54913-8904 · Phone (920) 969-5353 · Fax (414) 337-7201

Location 31506 S Oneida St Ste 500Appleton, WI 54915-1305 · Phone (920) 969-9700 · Fax (920) 969-7979

Location 41675 Dempster St Fl 3Park Ridge, IL 60068-1110 · Phone (847) 297-8700 · Fax (847) 723-9441

Other Identifiers 1

Medicaid1053674770WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathryn R Trandem Md, Phd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53805 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

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MATTHEW T DRAKAS RN

Nurse Practitioner (Family)