QUANG CAO MD
NPI 1093196032
Family Medicine in Wausau, WI

Active since June 16, 2015PECOS EnrolledAccepts Medicare Assignment
83.72/100
CMS Quality Rating
425 WIND RIDGE DR, WAUSAU, WI 54401(715) 675-3391(715) 675-4253 Get Directions Write a Review

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

About Quang Cao Md NPPES

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

QUANG CAO MD (NPI 1093196032) is an individual family medicine provider in Wausau, Wisconsin, licensed in Wisconsin (66989) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1093196032
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameQUANG CAOCredential: MD
Location Address425 WIND RIDGE DRWausau, WI 54401
Mailing Address425 Wind Ridge DrWausau, WI 54401-4149 · (715) 675-3391 · Fax (715) 675-4253
Fax(715) 675-4253
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 16, 2015
Last NPPES UpdateJuly 26, 2018
NPI 1093196032 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 · 66989
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.

425 WIND RIDGE DR, Wausau, WI 54401

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

Quang Cao 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 ID7719234301
PECOS Enrollment IDI20180730000408
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
250 services104 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
216 services87 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
115 services114 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services32 patients

Hospital Affiliations CMS Care Compare

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

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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.

83.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.54
Promoting Interoperability100
Improvement Activities40
Cost58.37

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers20 claims20 services$18.97 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
2 suppliers19 claims19 services$97.88 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.

Student in an Organized Health Care Education/Training Program
425 WIND RIDGE DR
WAUSAU, WI 54401
Clinic/Center (Multi-Specialty)
425 WIND RIDGE DR
WAUSAU, WI 54401
Family Medicine
425 WIND RIDGE DR
WAUSAU, WI 54401
Pharmacist
425 WIND RIDGE DR
WAUSAU, WI 54401
Student in an Organized Health Care Education/Training Program
425 WIND RIDGE DR
WAUSAU, WI 54401
Psychiatry & Neurology (Psychiatry)
425 WIND RIDGE DR
WAUSAU, WI 54401
Family Medicine
425 WIND RIDGE DR
WAUSAU, WI 54401
Pharmacist
425 WIND RIDGE DR
WAUSAU, WI 54401

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 Quang Cao's NPI number?

The NPI number for Quang Cao is 1093196032. It was assigned to this individual provider in the NPPES registry on June 16, 2015.

Where is Quang Cao located?

Quang Cao practices at 425 Wind Ridge Dr, Wausau, WI 54401. The listed phone number is (715) 675-3391.

What is Quang Cao's specialty?

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

Is Quang Cao enrolled in Medicare?

Yes. Quang Cao 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 Quang Cao accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Quang Cao 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 Quang Cao affiliated with any hospitals?

According to CMS data, Quang Cao is affiliated with Aspirus Wausau Hospital.

When was this NPI record last updated?

The NPPES record for Quang Cao was last updated on July 26, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.