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MARIA M. POPLAWSKA GOETZEN MD
NPI 1083752398
Family Medicine in Beloit, WI

Active since February 01, 2007PECOS EnrolledAccepts Medicare Assignment
73.05/100
CMS Quality Rating
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC, BELOIT, WI 53511(608) 364-2410(608) 364-1287 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maria M. Poplawska Goetzen Md NPPES

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

MARIA M. POPLAWSKA GOETZEN MD (NPI 1083752398) is an individual family medicine provider in Beloit, Wisconsin, licensed in Wisconsin (48594-020) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Mercy Health System Corp, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1083752398
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARIA M. POPLAWSKA GOETZENCredential: MD
Location Address1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INCBeloit, WI 53511-1842
Mailing Address1905 E. Huebbe Parkway, Beloit Health System IncBeloit, WI 53511-1842 · (608) 364-2410 · Fax (608) 364-1287
Phone(608) 364-2410
Fax(608) 364-1287
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateFebruary 1, 2007
Last NPPES UpdateOctober 19, 2011
✔ NPI 1083752398 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 · 48594-020
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.

1905 E. HUEBBE PARKWAY, Beloit, WI 53511
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Other Identifiers 2

Medicare UPINI50674
Medicaid1083752398WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, Quartz.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

Maria M. Poplawska Goetzen 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 ID547278251
PECOS Enrollment IDI20060322000285
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.

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.
228 services113 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.
161 services91 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.
82 services82 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

Beloit Health System

Acute Care Hospitals · Beloit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520100
Location1969 W Hart RdBeloit, WI 53511 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 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.

73.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.79
Promoting Interoperability100
Improvement Activities40
Cost51.38

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers49 claims86 services$6.05 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers21 claims22 services$1.03 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers26 claims26 services$17.61 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers22 claims22 services$5.34 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers50 claims50 services$88.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

VIJAYA SOMARAJU M.D.
Internal Medicine (Infectious Disease)
1905 E. HUEBBE PARKWAY, BELOIT CLINIC
BELOIT, WI 53511
Rock County (608) 364-2240
STEVEN S. YANG M.D.
Internal Medicine (Gastroenterology)
1905 E. HUEBBE PARKWAY
BELOIT, WI 53511
Rock County (608) 364-1460
WILLIAM M FITZGERALD II MD
Internal Medicine
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511
Rock County (608) 364-2200
DR. JACK-KY WANG MD
Family Medicine
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM, INC
BELOIT, WI 53511
Rock County (608) 364-2410
ALAN J REHBEIN OD
Optometrist
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511
Rock County (608) 364-2200
MARIA E TAVERAS MD
Internal Medicine (Cardiovascular Disease)
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511
Rock County (608) 364-2400
DR. CHRISTEL TECARRO MD.
Family Medicine
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511
Rock County (608) 364-2240
KEVIN M TOMERA M.D.
Urology
1905 E. HUEBBE PARKWAY, BELOIT CLINIC
BELOIT, WI 53511
Rock County (608) 364-2470

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 Maria Poplawska Goetzen's NPI number?

The NPI number for Maria Poplawska Goetzen is 1083752398. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Maria Poplawska Goetzen located?

Maria Poplawska Goetzen practices at 1905 E. Huebbe Parkway Beloit Health System Inc, Beloit, WI 53511. The listed phone number is (608) 364-2410.

What is Maria Poplawska Goetzen's specialty?

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

Is Maria Poplawska Goetzen enrolled in Medicare?

Yes. Maria Poplawska Goetzen 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 Maria Poplawska Goetzen accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW and Quartz list Maria Poplawska Goetzen 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 Maria Poplawska Goetzen affiliated with any hospitals?

According to CMS data, Maria Poplawska Goetzen is affiliated with Mercy Health System Corp and Beloit Health System.

When was this NPI record last updated?

The NPPES record for Maria Poplawska Goetzen was last updated on October 19, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.