JOHN E ALMQUIST MD
NPI 1104810118
Hospitalist in Appleton, WI

Active since September 06, 2005PECOS EnrolledAccepts Medicare Assignment
81.65/100
CMS Quality Rating
1506 S ONEIDA ST, APPLETON, WI 54915(920) 738-2000 Get Directions Write a Review

NPPES record last updated: February 17, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John E Almquist Md NPPES

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

JOHN E ALMQUIST MD (NPI 1104810118) is an individual hospitalist provider in Appleton, Wisconsin, licensed in Wisconsin (24449) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Aspirus Rhinelander Hospital, and is a graduate of Medical College Of Wisconsin (1979).

NPPES Registry Identity

NPI1104810118
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJOHN E ALMQUISTCredential: MD
Location Address1506 S ONEIDA STAppleton, WI 54915-1305
Mailing Address1506 S Oneida StAppleton, WI 54915-1305 · (920) 738-2000
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1979
Enumeration DateSeptember 6, 2005
Last NPPES UpdateFebruary 17, 2015
✔ NPI 1104810118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WI · 24449
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 24449 (WI)
1506 S ONEIDA ST, Appleton, WI 54915

Other Identifiers 4

Medicare ID-Type Unspecified000445300WI
Medicare UPINB51155
Medicare ID-Type Unspecified013671018WI
Medicaid30463900WI

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

John E Almquist 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 ID9133174642
PECOS Enrollment IDI20050317000587
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.

Medicare Billing Reassignments

6

Medicare enrollment records show John Almquist reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
205 S MAIN ST
Iola, WI 54945
  • Reassigned Medicare billing, Wisconsin enrollment
  • 935 clinicians in this Medicare group
General Practice
3500 HOOVER RD
Stevens Point, WI 54481
  • Reassigned Medicare billing, Wisconsin enrollment
  • 619 clinicians in this Medicare group
Critical Access
601 S CENTER AVE
Merrill, WI 54452
  • Reassigned Medicare billing, Wisconsin enrollment
  • 351 clinicians in this Medicare group
Critical Access
201 HOSPITAL RD
Eagle River, WI 54521
  • Reassigned Medicare billing, Wisconsin enrollment
  • 262 clinicians in this Medicare group
General Acute Care Hospital
240 MAPLE ST
Woodruff, WI 54568
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Howard Young Medical Center Inc Of Woodruff Wisconsin
  • 358 clinicians in this Medicare group
Critical Access
1120 PINE ST
Stanley, WI 54768
  • Reassigned Medicare billing, Wisconsin enrollment
  • 168 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

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

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54915 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

81.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.32
Promoting Interoperability100
Improvement Activities40
Cost67.54

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.

Pediatrics (Neonatal-Perinatal Medicine)
1506 S ONEIDA ST
APPLETON, WI 54915
Dietitian, Registered
1506 S ONEIDA ST
APPLETON, WI 54915
Skilled Nursing Facility
1506 S ONEIDA ST
APPLETON, WI 54915
Physical Therapist
1506 S ONEIDA ST
APPLETON, WI 54915
Hospitalist
1506 S ONEIDA ST, HOSPITAL SERVICE DEPARTMENT
APPLETON, WI 54915
Neurological Surgery
1506 S ONEIDA ST
APPLETON, WI 54915
Pediatrics (Neonatal-Perinatal Medicine)
1506 S ONEIDA ST
APPLETON, WI 54915
Nurse Anesthetist, Certified Registered
1506 S ONEIDA ST
APPLETON, WI 54915

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 John Almquist's NPI number?

The NPI number for John Almquist is 1104810118. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Where is John Almquist located?

John Almquist practices at 1506 S Oneida St, Appleton, WI 54915. The listed phone number is (920) 738-2000.

What is John Almquist's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is John Almquist enrolled in Medicare?

Yes. John Almquist 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 John Almquist's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Almquist reassigns Medicare benefits to 6 organizations: Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Iola, WI), Aspirus Stevens Point Hospital & Clinics, Inc. (Stevens Point, WI), Aspirus Merrill Hospital & Clinics, Inc. (Merrill, WI), Aspirus Eagle River Hospital & Clinics, Inc. (Eagle River, WI), The Howard Young Medical Center, Inc. (Woodruff, WI) 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 John Almquist's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Almquist accept?

Health plans from Anthem Blue Cross and Blue Shield and Aspirus Health Plan list John Almquist 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 John Almquist affiliated with any hospitals?

According to CMS data, John Almquist is affiliated with Aspirus Rhinelander Hospital.

When was this NPI record last updated?

The NPPES record for John Almquist was last updated on February 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.