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KRISTEN L MASKALA
NPI 1104908938
Orthopaedic Surgery in Cedarburg, WI

Active since October 20, 2006PECOS EnrolledAccepts Medicare Assignment
W62N179 WASHINGTON AVENUE SUITE 3, CEDARBURG, WI 53012(262) 618-2228(262) 618-2998 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Mar 1, 2018 (2 updates tracked since 2018).

About Kristen L Maskala NPPES

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

KRISTEN L MASKALA (NPI 1104908938) is an individual orthopaedic surgery provider in Cedarburg, Wisconsin, licensed in Wisconsin (41376) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Rush Medical College Of Rush University (1994).

NPPES Registry Identity

NPI1104908938
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameKRISTEN L MASKALA
Location AddressW62N179 WASHINGTON AVENUE SUITE 3Cedarburg, WI 53012
Mailing AddressW62n179 Washington Avenue Suite 3Cedarburg, WI 53012 · (262) 618-2228 · Fax (262) 618-2998
Phone(262) 618-2228
Fax(262) 618-2998
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1994
Enumeration DateOctober 20, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1104908938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in WI · 41376
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
W62N179 WASHINGTON AVENUE SUITE 3, Cedarburg, WI 53012
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Secondary Practice Locations 3

Location 1W225N16711 Cedar Park CtJackson, WI 53037-9795 · Phone (262) 618-2228 · Fax (262) 618-2998
Location 211430 N Port Washington RoadMequon, WI 53092-9795 · Phone (262) 518-1900
Location 31700 W Paradise DrWest Bend, WI 53095-9795 · Phone (262) 334-3451

Other Identifiers 2

Other6530Internal Id-motor Vehicle Id
Medicaid1104908938WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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

Kristen L Maskala 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 ID2163406422
PECOS Enrollment IDI20220825004010
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 9

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
383 services59 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
219 services123 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.
138 services138 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
127 services69 patients
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323
Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.
38 services13 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53012 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
1 supplier11 claims216 services$19.07 avg. paid by Medicare
Static progressive stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories E1811
DME-Other DME · category DE000N
1 supplier12 claims12 services$94.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kristen Maskala's NPI number?

The NPI number for Kristen Maskala is 1104908938. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Kristen Maskala located?

Kristen Maskala practices at W62n179 Washington Avenue Suite 3, Cedarburg, WI 53012. The listed phone number is (262) 618-2228.

What is Kristen Maskala's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Kristen Maskala enrolled in Medicare?

Yes. Kristen Maskala 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 Kristen Maskala accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Kristen Maskala 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.

When was this NPI record last updated?

The NPPES record for Kristen Maskala was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.