PHILIP THOMAS SKUMMER
NPI 1104386911
Radiology - Vascular & Interventional Radiology in Green Bay, WI
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 maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
6Medicare enrollment records show Philip Skummer reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Green Bay, WI 54301
- Reassigned Medicare billing, Wisconsin enrollment
- 875 clinicians in this Medicare group
Green Bay, WI 54311
- Reassigned Medicare billing, Wisconsin enrollment
- 394 clinicians in this Medicare group
Kewaunee, WI 54216
- Reassigned Medicare billing, Wisconsin enrollment
- 573 clinicians in this Medicare group
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Escanaba, MI 49829
- Reassigned Medicare billing, Michigan enrollment
- 118 clinicians in this Medicare group
Peoria, IL 61615
- Reassigned Medicare billing, Wisconsin enrollment
- 25 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 4
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, MIBellin Memorial Hospital
Acute Care Hospitals · Green Bay, WIAurora Baycare Medical Ctr
Acute Care Hospitals · Green Bay, WIBellin Health Oconto Hospital
Critical Access Hospitals · Oconto, WIPhysician 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.
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.
GREEN BAY, WI 54301
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 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.
Where is Philip Skummer located?
Philip Skummer practices at 744 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 433-6084.
What is Philip Skummer's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.
Is Philip Skummer enrolled in Medicare?
Yes. Philip Skummer 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.
Which organizations bill Medicare for Philip Skummer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Skummer reassigns Medicare benefits to 6 organizations: Bellin Memorial Hospital Inc. (Green Bay, WI), Baycare Aurora, LLC (Green Bay, WI), Oconto Hospital & Medical Center Inc (Kewaunee, WI), Aurora Medical Group, Inc. (Sheboygan, WI), St. Francis Hospital (Escanaba, MI) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Philip Skummer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Philip Skummer accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource (Common Ground Healthcare) and Quartz list Philip Skummer 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 Philip Skummer affiliated with any hospitals?
According to CMS data, Philip Skummer is affiliated with Osf St Francis Hospital And Medical Group, Bellin Memorial Hospital, Aurora Baycare Medical Ctr and Bellin Health Oconto Hospital.
When was this NPI record last updated?
The NPPES record for Philip Skummer was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.
# Philip Thomas Skummer · NPI 1104386911
Vascular & Interventional Radiology physician in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since March 20, 2019.
## Identity
- **NPI:** 1104386911 (Entity type: Individual)
- **Enumerated:** March 20, 2019
- **Primary specialty:** Radiology - Vascular & Interventional Radiology · taxonomy 2085R0204X
- **State license:** 76025-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 744 S WEBSTER AVE, Green Bay, WI 54301-3505
- **Phone:** (920) 433-6084
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Bellin Memorial Hospital Inc. (NPI 1891740585, Green Bay, WI); Baycare Aurora, LLC (NPI 1255387726, Green Bay, WI); Oconto Hospital & Medical Center Inc (NPI 1053279091, Kewaunee, WI); Aurora Medical Group, Inc. (NPI 1174670244, Sheboygan, WI); St. Francis Hospital (NPI 1629011622, Escanaba, MI); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 7, 2026
- **Other identifiers:** Medicaid 100180781 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1104386911) · Data from the CMS NPPES public registry.