BRYAN BEAUMONT D.O.
NPI 1073046520
Family Medicine in New Berlin, WI

Q: What is Bryan Beaumont's NPI number?

The NPI number for Bryan Beaumont is 1073046520. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Q: What is Bryan Beaumont's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Bryan Beaumont was last updated on August 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 11, 2017PECOS EnrolledAccepts Medicare Assignment

4805 S MOORLAND RD, NEW BERLIN, WI 53151(262) 798-7200(262) 798-7201 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 12, 2020, Apr 15, 2020, Apr 11, 2017 (3 updates tracked since 2017).

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About Bryan Beaumont D.o. NPPES

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

BRYAN BEAUMONT D.O. (NPI 1073046520) is an individual family medicine provider in New Berlin, Wisconsin, licensed in Wisconsin (71166-21) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073046520

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameBRYAN BEAUMONTCredential: D.O.

Location Address4805 S MOORLAND RDNew Berlin, WI 53151-7401

Mailing Address4805 S Moorland RdNew Berlin, WI 53151-7401 · (262) 798-7200 · Fax (262) 798-7201

Phone(262) 798-7200

Fax(262) 798-7201

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 11, 2017

Last NPPES UpdateAugust 12, 20203 updates tracked since enumeration

NPPES CertifiedAugust 12, 2020

✔ NPI 1073046520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 71166-21

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4805 S MOORLAND RD, New Berlin, WI 53151

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Accepted Insurance

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

Bryan Beaumont D.o. 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 ID8123453990

PECOS Enrollment IDI20200717001647

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 3

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.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

39 services39 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.

36 services27 patients

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.

16 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520177

Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53151 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.

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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.

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