DR. AGNES PROSPERE MD
NPI 1083241301
Family Medicine in Oak Creek, WI

Active since March 25, 2020PECOS EnrolledAccepts Medicare Assignment
51.24/100
CMS Quality Rating
200 E RYAN RD, OAK CREEK, WI 53154(414) 570-3590 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 26, 2023, Sep 9, 2022, Mar 25, 2020 (3 updates tracked since 2020).

About Dr. Agnes Prospere Md NPPES

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

DR. AGNES PROSPERE MD (NPI 1083241301) is an individual family medicine provider in Oak Creek, Wisconsin, licensed in Wisconsin (80102-20) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1083241301
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. AGNES PROSPERECredential: MD
Location Address200 E RYAN RDOak Creek, WI 53154-4563
Mailing AddressPo Box 735044Chicago, IL 60673-4329 · (414) 570-3590
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 25, 2020
Last NPPES UpdateOctober 26, 20233 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
NPI 1083241301 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 · 80102-20
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.
200 E RYAN RD, Oak Creek, WI 53154

Other Identifiers 1

Medicaid100213444WI

Accepted 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

Dr. Agnes Prospere 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 ID749665008
PECOS Enrollment IDI20230920001322
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 2

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.
37 services24 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.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53154 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

51.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
200 E RYAN RD
OAK CREEK, WI 53154
Pediatrics
200 E RYAN RD
OAK CREEK, WI 53154
Family Medicine
200 E RYAN RD
OAK CREEK, WI 53154
Physical Therapist
200 E RYAN RD
OAK CREEK, WI 53154
Psychiatry & Neurology (Neurology)
200 E RYAN RD
OAK CREEK, WI 53154
Emergency Medicine
200 E RYAN RD
OAK CREEK, WI 53154
Orthopaedic Surgery (Foot and Ankle Surgery)
200 E RYAN RD
OAK CREEK, WI 53154
Durable Medical Equipment & Medical Supplies
200 E RYAN RD
OAK CREEK, WI 53154

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 Agnes Prospere's NPI number?

The NPI number for Agnes Prospere is 1083241301. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Agnes Prospere located?

Agnes Prospere practices at 200 E Ryan Rd, Oak Creek, WI 53154. The listed phone number is (414) 570-3590.

What is Agnes Prospere's specialty?

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

Is Agnes Prospere enrolled in Medicare?

Yes. Agnes Prospere 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 Agnes Prospere accept?

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

According to CMS data, Agnes Prospere is affiliated with Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Agnes Prospere was last updated on October 26, 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.