DAVID J HENNINGSEN MD
NPI 1124138375
Family Medicine in Rice Lake, WI

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
82.79/100
CMS Quality Rating
1700 W STOUT ST, RICE LAKE, WI 54868(715) 236-8100 Get Directions Write a Review

NPPES record last updated: September 2, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About David J Henningsen Md NPPES

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

DAVID J HENNINGSEN MD (NPI 1124138375) is an individual family medicine provider in Rice Lake, Wisconsin, licensed in Wisconsin (33389) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Rice Lake, and is a graduate of University Of Wisconsin School Of Medicine (1991).

NPPES Registry Identity

NPI1124138375
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAVID J HENNINGSENCredential: MD
Location Address1700 W STOUT STRice Lake, WI 54868-5000
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1991
Enumeration DateAugust 30, 2006
Last NPPES UpdateSeptember 2, 2009
✔ NPI 1124138375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 33389
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1700 W STOUT ST, Rice Lake, WI 54868

Other Identifiers 3

Medicare UPINF41487
Medicaid31865700WI
Medicare ID-Type Unspecified004205090WI

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

David J Henningsen 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 ID8729119680
PECOS Enrollment IDI20100622000394
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 David Henningsen reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
1700 W STOUT ST
Rice Lake, WI 54868
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
Critical Access
1200 PORT ARTHUR RD
Ladysmith, WI 54848
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
Clinic/Center
98 SHERRY AVE
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1700963048 (Wisconsin)
  • 1,351 clinicians in this Medicare group
Clinic/Center
N3708 RIVER AVE
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1346239373 (Wisconsin)
  • 1,440 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
Family Medicine
180 GATEWAY DR
Waupun, WI 53963
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,447 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 2

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

Marshfield Medical Center - Rice Lake

Acute Care Hospitals · Rice Lake, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520011
Location1700 West Stout StreetRice Lake, WI 54868 · Barron County
Emergency services Birthing friendly

Marshfield Medical Center - Ladysmith

Critical Access Hospitals · Ladysmith, WI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number521328
Location1200 Port Arthur RdLadysmith, WI 54848 · Rusk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54868 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
$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.

82.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.98
Promoting Interoperability99
Improvement Activities40
Cost66.19

Referred Medical Equipment & Supplies CMS DME claims 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers61 claims156 services$6.21 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers16 claims22 services$0.97 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers14 claims14 services$69.20 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers15 claims15 services$21.18 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers19 claims110 services$2.72 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers16 claims16 services$18.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Otolaryngology
1700 W STOUT ST
RICE LAKE, WI 54868
Physician Assistant
1700 W STOUT ST
RICE LAKE, WI 54868
Family Medicine
1700 W STOUT ST
RICE LAKE, WI 54868
Obstetrics & Gynecology
1700 W STOUT ST
RICE LAKE, WI 54868
Occupational Therapist
1700 W STOUT ST
RICE LAKE, WI 54868
Nurse Practitioner (Family)
1700 W STOUT ST
RICE LAKE, WI 54868
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1700 W STOUT ST
RICE LAKE, WI 54868
Emergency Medicine
1700 W STOUT ST
RICE LAKE, WI 54868

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 David Henningsen's NPI number?

The NPI number for David Henningsen is 1124138375. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is David Henningsen located?

David Henningsen practices at 1700 W Stout St, Rice Lake, WI 54868. The listed phone number is (715) 236-8100.

What is David Henningsen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is David Henningsen enrolled in Medicare?

Yes. David Henningsen 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 David Henningsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Henningsen reassigns Medicare benefits to 6 organizations: Lakeview Medical Center Inc Of Rice Lake (Rice Lake, WI), Mchs Hospitals Inc (Ladysmith, WI), Flambeau Hospital Inc (Park Falls, WI), Memorial Hospital Inc (Neillsville, WI), Marshfield Clinic Inc (Marshfield, 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 David Henningsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Henningsen accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Sanford Health Plan and Security Health Plan list David Henningsen 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 David Henningsen affiliated with any hospitals?

According to CMS data, David Henningsen is affiliated with Marshfield Medical Center - Rice Lake and Marshfield Medical Center - Ladysmith.

When was this NPI record last updated?

The NPPES record for David Henningsen was last updated on September 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.