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EZRA TEITELBAUM MD
NPI 1104052521
Surgery in Milwaukee, WI

Active since June 01, 2009PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
9200 W WISCONSIN AVE DEPT OF, MILWAUKEE, WI 53226(414) 955-7113(414) 805-8097 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ezra Teitelbaum Md NPPES

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

EZRA TEITELBAUM MD (NPI 1104052521) is an individual surgery provider in Milwaukee, Wisconsin, licensed in Wisconsin (85642) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and is a graduate of Icahn School Of Medicine At Mount Sinai (2008).

NPPES Registry Identity

NPI1104052521
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameEZRA TEITELBAUMCredential: MD
Location Address9200 W WISCONSIN AVE DEPT OFMilwaukee, WI 53226-3522
Mailing Address9200 W Wisconsin Ave Dept OfMilwaukee, WI 53226-3522 · (414) 955-7113 · Fax (414) 805-8097
Phone(414) 955-7113
Fax(414) 805-8097
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2008
Enumeration DateJune 1, 2009
Last NPPES UpdateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1104052521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in WI · 85642✔ Licensed in DC · 148293
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
9200 W WISCONSIN AVE DEPT OF, Milwaukee, WI 53226
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Other Identifiers 1

Medicaid1104052521WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.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

Ezra Teitelbaum 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 ID7719257526
PECOS Enrollment IDI20250528002247
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 7

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
50 services50 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
37 services33 patients
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.
27 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients
Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563
This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.
16 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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 Ezra Teitelbaum's NPI number?

The NPI number for Ezra Teitelbaum is 1104052521. It was assigned to this individual provider in the NPPES registry on June 1, 2009.

Where is Ezra Teitelbaum located?

Ezra Teitelbaum practices at 9200 W Wisconsin Ave Dept Of, Milwaukee, WI 53226. The listed phone number is (414) 955-7113.

What is Ezra Teitelbaum's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ezra Teitelbaum enrolled in Medicare?

Yes. Ezra Teitelbaum 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 Ezra Teitelbaum accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Ezra Teitelbaum 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 Ezra Teitelbaum affiliated with any hospitals?

According to CMS data, Ezra Teitelbaum is affiliated with Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Ezra Teitelbaum was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.