BENJAMIN ANDREW M.D.
NPI 1083000863
Surgery in Summit, WI

Active since April 08, 2015PECOS EnrolledAccepts Medicare Assignment
36500 AURORA DR, SUMMIT, WI 53066(262) 434-1000 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 6, 2024, Sep 25, 2024, Jul 9, 2024 and 4 more (7 updates tracked since 2016).

About Benjamin Andrew M.d. NPPES

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

BENJAMIN ANDREW M.D. (NPI 1083000863) is an individual surgery provider in Summit, Wisconsin, licensed in Wisconsin (66692-20) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083000863
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameBENJAMIN ANDREWCredential: M.D.
Location Address36500 AURORA DRSummit, WI 53066-4899
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSChicago College Of Medicine And SurgeryGraduated 2015
Enumeration DateApril 8, 2015
Last NPPES UpdateNovember 6, 20247 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1083000863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WI · 66692-20
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
36500 AURORA DR, Summit, WI 53066

Secondary Practice Locations 2

Location 11860 Shawano AveGreen Bay, WI 54303-2667 · Phone (920) 496-4700
Location 2707 14th StBaraboo, WI 53913-1539 · Phone (608) 356-1400 · Fax (608) 355-6810

Other Identifiers 1

Medicaid1083000863WI

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

Benjamin Andrew M.d. 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 ID2264741552
PECOS Enrollment IDI20200812003463
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

5

Medicare enrollment records show Benjamin Andrew reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
13500 WATERTOWN PLANK RD STE 206
Elm Grove, WI 53122
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,457 clinicians in this Medicare group
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
Allergy & Immunology
1211 FISH HATCHERY RD
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,377 clinicians in this Medicare group
Optometrist
118 S MARQUETTE RD
Prairie Du Chien, WI 53821
  • Reassigned Medicare billing, Wisconsin enrollment
  • 928 clinicians in this Medicare group
Rural Health
207 N PIONEER PARK RD, UNIT 8
Westfield, WI 53964
  • Reassigned Medicare billing, Wisconsin enrollment
  • 280 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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520206
Location36500 Aurora DriveSummit, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53066 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
$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.

Internal Medicine (Critical Care Medicine)
36500 AURORA DR
SUMMIT, WI 53066
Hospitalist
36500 AURORA DR
SUMMIT, WI 53066
Physician Assistant
36500 AURORA DR
SUMMIT, WI 53066
Preventive Medicine (Undersea and Hyperbaric Medicine)
36500 AURORA DR, DEPARTMENT OF WOUND CARE/HYPERBARIC MEDICINE 3RD FLOOR
SUMMIT, WI 53066
Physical Therapist
36500 AURORA DR
SUMMIT, WI 53066
Internal Medicine (Critical Care Medicine)
36500 AURORA DR
SUMMIT, WI 53066
Nurse Practitioner
36500 AURORA DR
SUMMIT, WI 53066
Emergency Medicine
36500 AURORA DR
SUMMIT, WI 53066

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 Benjamin Andrew's NPI number?

The NPI number for Benjamin Andrew is 1083000863. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is Benjamin Andrew located?

Benjamin Andrew practices at 36500 Aurora Dr, Summit, WI 53066. The listed phone number is (262) 434-1000.

What is Benjamin Andrew's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Benjamin Andrew enrolled in Medicare?

Yes. Benjamin Andrew 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 Benjamin Andrew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Andrew reassigns Medicare benefits to 5 organizations: Gundersen Lutheran Medical Center Inc (Elm Grove, WI), Aurora Medical Group, Inc. (West Allis, WI), Dean Health Systems, Inc (Madison, WI), Gundersen Clinic, Ltd. (Prairie Du Chien, WI) and Moundview Memorial Hospital & Clinics, Inc. (Westfield, 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 Benjamin Andrew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Andrew accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and Quartz and 1 other insurer list Benjamin Andrew 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 Benjamin Andrew affiliated with any hospitals?

According to CMS data, Benjamin Andrew is affiliated with Aurora St Lukes Medical Center and Aurora Medical Center - Summit.

When was this NPI record last updated?

The NPPES record for Benjamin Andrew was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.