DR. STEPHEN DOLAN MD
NPI 1144274465
Internal Medicine - Pulmonary Disease in Milwaukee, WI

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
9200 W WISCONSIN AVE, DIVISION OF PULMONARY DISEASES, MILWAUKEE, WI 53226(414) 805-6633(414) 805-3859 Get Directions Write a Review

NPPES record last updated: August 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephen Dolan Md NPPES

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

DR. STEPHEN DOLAN MD (NPI 1144274465) is an individual pulmonary disease provider in Milwaukee, Wisconsin, licensed in Wisconsin (40320) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St Josephs Community Hospital West Bend, and is a graduate of George Washington University School Of Medicine (1988).

NPPES Registry Identity

NPI1144274465
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. STEPHEN DOLANCredential: MD
Location Address9200 W WISCONSIN AVE, DIVISION OF PULMONARY DISEASESMilwaukee, WI 53226
Mailing Address9200 W Wisconsin Ave, Division Of Pulmonary DiseasesMilwaukee, WI 53226-3522 · (414) 805-6633 · Fax (414) 805-3859
Fax(414) 805-3859
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1988
Enumeration DateMay 20, 2006
Last NPPES UpdateAugust 3, 2018
NPI 1144274465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in WI · 40320
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
9200 W WISCONSIN AVE, Milwaukee, WI 53226

Other Identifiers 3

Other002000328THumana
Medicaid1144274465WI
Medicaid32468600WI

Accepted 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. Stephen Dolan 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 ID4385774363
PECOS Enrollment IDI20100618000047
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 3

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.

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.
130 services87 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.
33 services33 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services14 patients

Hospital Affiliations CMS Care Compare 3

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

St Josephs Community Hospital West Bend

Acute Care Hospitals · West Bend, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520063
Location3200 Pleasant Valley RoadWest Bend, WI 53095 · Washington County
Emergency services Birthing friendly

Holy Family Memorial

Acute Care Hospitals · Manitowoc, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520107
Location2300 Western AveManitowoc, WI 54221 · Manitowoc County
Emergency services

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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.

Referred Medical Equipment & Supplies CMS DME claims 18

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers16 claims16 services$32.92 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers14 claims14 services$73.98 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers13 claims39 services$26.83 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers11 claims11 services$14.75 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers20 claims120 services$1.66 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
4 suppliers11 claims11 services$11.40 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.

Advanced Practice Midwife
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Internal Medicine (Gastroenterology)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Emergency Medicine
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Practitioner (Pediatrics)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Physician Assistant (Medical)
9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226

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 Stephen Dolan's NPI number?

The NPI number for Stephen Dolan is 1144274465. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Stephen Dolan located?

Stephen Dolan practices at 9200 W Wisconsin Ave Division Of Pulmonary Diseases, Milwaukee, WI 53226. The listed phone number is (414) 805-6633.

What is Stephen Dolan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Stephen Dolan enrolled in Medicare?

Yes. Stephen Dolan 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 Stephen Dolan accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Network Health list Stephen Dolan 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 Stephen Dolan affiliated with any hospitals?

According to CMS data, Stephen Dolan is affiliated with St Josephs Community Hospital West Bend, Holy Family Memorial and Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Dolan was last updated on August 3, 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.