PHILIP THOMAS SKUMMER
NPI 1104386911
Radiology - Vascular & Interventional Radiology in Green Bay, WI

Q: What is Philip Skummer's NPI number?

The NPI number for Philip Skummer is 1104386911. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Q: What is Philip Skummer's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Q: When was this NPI record last updated?

The NPPES record for Philip Skummer was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment

744 S WEBSTER AVE, GREEN BAY, WI 54301(920) 433-6084 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 26, 2025, Mar 20, 2019 (2 updates tracked since 2019).

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About Philip Thomas Skummer NPPES

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

PHILIP THOMAS SKUMMER (NPI 1104386911) is an individual vascular & interventional radiology provider in Green Bay, Wisconsin, licensed in Wisconsin (76025-20) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Osf St Francis Hospital And Medical Group, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104386911

Entity TypeIndividualMale

Primary Taxonomy2085R0204X

Provider Legal NamePHILIP THOMAS SKUMMER

Location Address744 S WEBSTER AVEGreen Bay, WI 54301-3505

Mailing Address9200 W Wisconsin Ave Rm 2803Milwaukee, WI 53226-3522

Phone(920) 433-6084

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 20, 2019

Last NPPES UpdateJune 26, 20252 updates tracked since enumeration

NPPES CertifiedJune 26, 2025

✔ NPI 1104386911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

License✔ Licensed in WI · 76025-20

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

744 S WEBSTER AVE, Green Bay, WI 54301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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

Philip Thomas Skummer 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 ID1557797081

PECOS Enrollment IDI20250811001835, I20260120002751

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.

Osf St Francis Hospital And Medical Group

Critical Access Hospitals · Escanaba, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number231337

Location3401 Ludington StEscanaba, MI 49829 · Delta County

Emergency services Birthing friendly

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520049

Location744 S Webster AveGreen Bay, WI 54305 · Brown County

Emergency services Birthing friendly

Bellin Health Oconto Hospital

Critical Access Hospitals · Oconto, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521356

Location820 Arbutus AveOconto, WI 54153 · Oconto County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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.

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.

TAMMY ANN MOTQUIN

Nurse Practitioner (Family)