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DR. HORACE PEI LO M.D.
NPI 1114988466
Surgery in Berlin, WI

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
225 MEMORIAL DR STE 2000, BERLIN, WI 54923(920) 361-5340 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Horace Pei Lo M.d. NPPES

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

DR. HORACE PEI LO M.D. (NPI 1114988466) is an individual surgery provider in Berlin, Wisconsin, licensed in Wisconsin (39102-020) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with St. Agnes Hospital Hospice, and maintains a secondary practice location in Breese.

NPPES Registry Identity

NPI1114988466
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. HORACE PEI LOCredential: M.D.
Location Address225 MEMORIAL DR STE 2000Berlin, WI 54923-1243
Mailing Address225 Memorial Dr Ste 2000Berlin, WI 54923-1243 · (920) 361-5340
Phone(920) 361-5340
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMarch 28, 2006
Last NPPES UpdateJune 9, 2023
NPPES CertifiedJune 9, 2023
✔ NPI 1114988466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WI · 39102-020
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.
225 MEMORIAL DR STE 2000, Berlin, WI 54923
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Secondary Practice Location 1

Location 19515 Holy Cross LnBreese, IL 62230-3618 · Phone (618) 526-8430 · Fax (618) 526-7275

Other Identifiers 1

Medicaid1114988466WI

Accepted Insurance

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

Dr. Horace Pei Lo M.d. 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 ID4688673395
PECOS Enrollment IDI20061206000564
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 5

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.

Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
28 services28 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.
16 services11 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
14 services14 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
12 services12 patients
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.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

St. Agnes Hospital Hospice

Acute Care Hospitals · Fond Du Lac, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520088
Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac County
Emergency services Birthing friendly

Ripon Medical Center

Critical Access Hospitals · Ripon, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521321
Location845 Parkside StRipon, WI 54971 · Fond Du Lac County
Emergency services

Waupun Memorial Hospital

Critical Access Hospitals · Waupun, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521327
Location620 W Brown StWaupun, WI 53963 · Fond Du Lac County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54923 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROGERS AND NELSON SURGICAL ASSOCIATES, S.C.
Surgery
225 MEMORIAL DR STE 2000
BERLIN, WI 54923
Green Lake County (920) 361-5340

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 Horace Lo's NPI number?

The NPI number for Horace Lo is 1114988466. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Horace Lo located?

Horace Lo practices at 225 Memorial Dr Ste 2000, Berlin, WI 54923. The listed phone number is (920) 361-5340.

What is Horace Lo's specialty?

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

Is Horace Lo enrolled in Medicare?

Yes. Horace Lo 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 Horace Lo accept?

Health plans from CareSource (Common Ground Healthcare), Network Health and Quartz list Horace Lo 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 Horace Lo affiliated with any hospitals?

According to CMS data, Horace Lo is affiliated with St. Agnes Hospital Hospice, Ripon Medical Center and Waupun Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Horace Lo was last updated on June 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.