KENT L PARTAIN MD
NPI 1154316560
Internal Medicine - Rheumatology in Menasha, WI

Active since September 13, 2005PECOS Enrolled
1550 MIDWAY PL, MENASHA, WI 54952(920) 727-8020 Get Directions Write a Review

NPPES record last updated: November 27, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kent L Partain Md NPPES

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

KENT L PARTAIN MD (NPI 1154316560) is an individual rheumatology provider in Menasha, Wisconsin, licensed in Wisconsin (27754) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154316560
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameKENT L PARTAINCredential: MD
Location Address1550 MIDWAY PLMenasha, WI 54952-1165
Mailing Address1550 Midway PlMenasha, WI 54952-1165 · (920) 727-8020
Sole ProprietorNo
Enumeration DateSeptember 13, 2005
Last NPPES UpdateNovember 27, 2012
NPI 1154316560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in WI · 27754
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

1550 MIDWAY PL, Menasha, WI 54952

Other Identifiers 4

Medicare UPINB85138
Medicare PIN004645300WI
Medicare PIN017771018WI
Medicaid30732200WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kent L Partain Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54952 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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
38%570 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
28%540 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
47%877 patients3/55-star benchmark: 85%
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
Patients 4MonthsOfEnd: 10% · 48 patients
Patients 4MonthsOfStart: 19% · 43 patients
8%40 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
91%7,317 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
84%151 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%271 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
85%1,512 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
69%1,512 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
34%1,512 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
33%1,512 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Occupational Therapist
1550 MIDWAY PL
MENASHA, WI 54952
Occupational Therapist
1550 MIDWAY PL
MENASHA, WI 54952
Dermatology (MOHS-Micrographic Surgery)
1550 MIDWAY PL
MENASHA, WI 54952
Nurse Practitioner (Family)
1550 MIDWAY PL
MENASHA, WI 54952
Clinic/Center (Ambulatory Surgical)
1550 MIDWAY PL
MENASHA, WI 54952
Speech-Language Pathologist
1550 MIDWAY PL
MENASHA, WI 54952
Occupational Therapy Assistant
1550 MIDWAY PL
MENASHA, WI 54952
Physical Therapist
1550 MIDWAY PL
MENASHA, WI 54952

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 Kent Partain's NPI number?

The NPI number for Kent Partain is 1154316560. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Kent Partain located?

Kent Partain practices at 1550 Midway Pl, Menasha, WI 54952. The listed phone number is (920) 727-8020.

What is Kent Partain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Kent Partain enrolled in Medicare?

Yes. Kent Partain is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kent Partain was last updated on November 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.