BENJAMIN AUGUSTIN NESSEIM MD
NPI 1093928004
Family Medicine in Reedsburg, WI

Active since May 07, 2007PECOS EnrolledAccepts Medicare Assignment
97.59/100
CMS Quality Rating
1900 N DEWEY AVE, REEDSBURG, WI 53959(608) 524-6477 Get Directions Write a Review

NPPES record last updated: January 29, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Benjamin Augustin Nesseim Md NPPES

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

BENJAMIN AUGUSTIN NESSEIM MD (NPI 1093928004) is an individual family medicine provider in Reedsburg, Wisconsin, licensed in Wisconsin (52599-20) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Clare Hospital - Baraboo, and maintains a secondary practice location in Rockford.

NPPES Registry Identity

NPI1093928004
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBENJAMIN AUGUSTIN NESSEIMCredential: MD
Location Address1900 N DEWEY AVEReedsburg, WI 53959
Mailing Address1900 N Dewey AveReedsburg, WI 53959-1098 · (608) 524-6477
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMay 7, 2007
Last NPPES UpdateJanuary 29, 2019
NPI 1093928004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WI · 52599-20 Licensed in IA · 37280
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.
1900 N DEWEY AVE, Reedsburg, WI 53959

Secondary Practice Location 1

Location 11221 E State StRockford, IL 61104-2231 · Phone (815) 972-1000

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

Benjamin Augustin Nesseim 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 ID1355433996
PECOS Enrollment IDI20090414000341
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.

Hospital Affiliations CMS Care Compare 3

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

Ssm Health St Clare Hospital - Baraboo

Acute Care Hospitals · Baraboo, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520057
Location707 14th StBaraboo, WI 53913 · Sauk County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

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 53959 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.

97.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.16
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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 suppliers54 claims137 services$5.82 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers17 claims24 services$1.04 avg. paid by Medicare
Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier12 claims12 services$10.35 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
3 suppliers21 claims21 services$18.21 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 suppliers21 claims21 services$106.78 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$185.29 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.

Nurse Practitioner
1900 N DEWEY AVE
REEDSBURG, WI 53959
Durable Medical Equipment & Medical Supplies
1900 N DEWEY AVE
REEDSBURG, WI 53959
Nurse Practitioner
1900 N DEWEY AVE
REEDSBURG, WI 53959
Family Medicine
1900 N DEWEY AVE
REEDSBURG, WI 53959
Family Medicine
1900 N DEWEY AVE
REEDSBURG, WI 53959
Pediatrics
1900 N DEWEY AVE
REEDSBURG, WI 53959
Family Medicine
1900 N DEWEY AVE
REEDSBURG, WI 53959
Family Medicine
1900 N DEWEY AVE
REEDSBURG, WI 53959

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 Nesseim's NPI number?

The NPI number for Benjamin Nesseim is 1093928004. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Benjamin Nesseim located?

Benjamin Nesseim practices at 1900 N Dewey Ave, Reedsburg, WI 53959. The listed phone number is (608) 524-6477.

What is Benjamin Nesseim's specialty?

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

Is Benjamin Nesseim enrolled in Medicare?

Yes. Benjamin Nesseim 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 Benjamin Nesseim accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and Quartz list Benjamin Nesseim 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 Nesseim affiliated with any hospitals?

According to CMS data, Benjamin Nesseim is affiliated with Ssm Health St Clare Hospital - Baraboo, University Of Wi Hospitals & Clinics Authority and Reedsburg Area Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Nesseim was last updated on January 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.