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CAROLYN K DAY MD
NPI 1073787719
Family Medicine in Waukesha, WI

Active since April 14, 2008PECOS EnrolledAccepts Medicare Assignment
717 W MORELAND BLVD, PROHEALTH CARE MEDICAL ASSOCIATES INC, WAUKESHA, WI 53188(262) 542-9100(262) 542-7366 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2023, May 8, 2020 (2 updates tracked since 2020).

About Carolyn K Day Md NPPES

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

CAROLYN K DAY MD (NPI 1073787719) is an individual family medicine provider in Waukesha, Wisconsin, licensed in Wisconsin (54214) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Promedica Charles And Virginia Hickman Hospital, and is a graduate of University Of Toledo College Of Medicine (2008).

NPPES Registry Identity

NPI1073787719
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCAROLYN K DAYCredential: MD
Location Address717 W MORELAND BLVD, PROHEALTH CARE MEDICAL ASSOCIATES INCWaukesha, WI 53188-2432
Mailing Address717 W Moreland Blvd, Prohealth Care Medical Associates IncWaukesha, WI 53188-2432 · (262) 542-9100 · Fax (262) 542-7366
Phone(262) 542-9100
Fax(262) 542-7366
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2008
Enumeration DateApril 14, 2008
Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration
NPPES CertifiedMay 8, 2020
✔ NPI 1073787719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WI · 54214✔ Licensed in OH · 35.138481
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.
717 W MORELAND BLVD, Waukesha, WI 53188
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Carolyn K Day 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 ID2961670104
PECOS Enrollment IDI20200518002885
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 8

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 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.
103 services60 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.
85 services69 patients
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.
53 services53 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
20 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services12 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Promedica Charles And Virginia Hickman Hospital

Acute Care Hospitals · Adrian, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230005
Location5640 N Adrian HighwayAdrian, MI 49221 · Lenawee County
Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360259
Location2801 Bay Park DriveOregon, OH 43616 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 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.

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.

DAYKEN ELISE UNDERDAHL PA-C
Family Medicine
717 W MORELAND BLVD
WAUKESHA, WI 53188
Waukesha County (262) 542-9100
KAILEY C. INMAN PA-C
Physician Assistant
717 W MORELAND BLVD
WAUKESHA, WI 53188
Waukesha County (262) 542-9100
JOHN SZIVECZ MPT
Physical Therapist
717 W MORELAND BLVD, PROHEALTH CARE MEDICAL ASSOCIATES MORELAND FAMILY MEDIC
WAUKESHA, WI 53188
Waukesha County (262) 542-9100
DR. ROWENA ELIZABETH PAPSON M.D.
Family Medicine
717 W MORELAND BLVD
WAUKESHA, WI 53188
Waukesha County (262) 542-9100
MARY FOURNESS A.P.N.P.
Nurse Practitioner
717 W MORELAND BLVD, PROHEALTH CARE MEDICAL ASSOCIATES MORELAND FAMILY MEDIC
WAUKESHA, WI 53188
Waukesha County (262) 542-9100
RICHARD DAO
Family Medicine
717 W MORELAND BLVD
WAUKESHA, WI 53188
Waukesha County (262) 542-9100
ELIZABETH DAVIES MD
Family Medicine
717 W MORELAND BLVD, PROHEALTH CARE MEDICAL ASSOCIATES MORELAND FAMILY MEDIC
WAUKESHA, WI 53188
Waukesha County (262) 542-9100
ALLISON ZOLTAK PA-C
Physician Assistant
717 W MORELAND BLVD
WAUKESHA, WI 53188
Waukesha County (262) 542-9100

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 Carolyn Day's NPI number?

The NPI number for Carolyn Day is 1073787719. It was assigned to this individual provider in the NPPES registry on April 14, 2008.

Where is Carolyn Day located?

Carolyn Day practices at 717 W Moreland Blvd Prohealth Care Medical Associates Inc, Waukesha, WI 53188. The listed phone number is (262) 542-9100.

What is Carolyn Day's specialty?

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

Is Carolyn Day enrolled in Medicare?

Yes. Carolyn Day 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 Carolyn Day accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Carolyn Day 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 Carolyn Day affiliated with any hospitals?

According to CMS data, Carolyn Day is affiliated with Promedica Charles And Virginia Hickman Hospital, Promedica Toledo Hospital and Bay Park Community Hospital.

When was this NPI record last updated?

The NPPES record for Carolyn Day was last updated on November 3, 2023. 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.