MARY ELLEN SABOURIN MD
NPI 1083670277
Family Medicine in Wisconsin Dells, WI

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
1310 BROADWAY, WISCONSIN DELLS, WI 53965(608) 253-1171(608) 253-8012 Get Directions Write a Review

NPPES record last updated: April 5, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 22, 2016, Nov 23, 2015 (2 updates tracked since 2015).

About Mary Ellen Sabourin Md NPPES

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

MARY ELLEN SABOURIN MD (NPI 1083670277) is an individual family medicine provider in Wisconsin Dells, Wisconsin, licensed in Wisconsin (32342-020) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Reedsburg Area Medical Center, and is a graduate of Ohio State University College Of Medicine (1990).

NPPES Registry Identity

NPI1083670277
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARY ELLEN SABOURINCredential: MD
Location Address1310 BROADWAYWisconsin Dells, WI 53965-1358
Mailing Address1310 BroadwayWisconsin Dells, WI 53965-1358 · (608) 253-1171 · Fax (608) 253-8012
Fax(608) 253-8012
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1990
Enumeration DateApril 25, 2006
Last NPPES UpdateApril 5, 20182 updates tracked since enumeration
NPI 1083670277 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 · 32342-020
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.
1310 BROADWAY, Wisconsin Dells, WI 53965

Other Identifiers 1

Medicaid1083670277WI

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

Mary Ellen Sabourin 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 ID6507888153
PECOS Enrollment IDI20051222000481
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 6

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.

Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
36 services21 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
32 services17 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
28 services17 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
19 services11 patients
Urine microalbumin (protein) analysis 82044
Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.
17 services12 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Reedsburg Area Medical Center

Critical Access Hospitals · Reedsburg, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521351
Location2000 N Dewey AveReedsburg, WI 53959 · Sauk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53965 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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
4%57 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
83%72 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
18%84 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
80%44 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1310 BROADWAY
WISCONSIN DELLS, WI 53965
Nurse Practitioner
1310 BROADWAY
WISCONSIN DELLS, WI 53965
Durable Medical Equipment & Medical Supplies
1310 BROADWAY
WISCONSIN DELLS, WI 53965
Family Medicine
1310 BROADWAY
WISCONSIN DELLS, WI 53965
Nurse Practitioner
1310 BROADWAY
WISCONSIN DELLS, WI 53965
Nurse Practitioner
1310 BROADWAY
WISCONSIN DELLS, WI 53965
Physician Assistant
1310 BROADWAY
WISCONSIN DELLS, WI 53965
Family Medicine
1310 BROADWAY
WISCONSIN DELLS, WI 53965

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 Mary Sabourin's NPI number?

The NPI number for Mary Sabourin is 1083670277. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Mary Sabourin located?

Mary Sabourin practices at 1310 Broadway, Wisconsin Dells, WI 53965. The listed phone number is (608) 253-1171.

What is Mary Sabourin's specialty?

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

Is Mary Sabourin enrolled in Medicare?

Yes. Mary Sabourin 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 Mary Sabourin accept?

Health plans from Group Health Cooperative-SCW, Medica and Security Health Plan list Mary Sabourin 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 Mary Sabourin affiliated with any hospitals?

According to CMS data, Mary Sabourin is affiliated with Reedsburg Area Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Sabourin was last updated on April 5, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.