ANDREY MIRONENKO MD
NPI 1174185292
Emergency Medicine in Ladysmith, WI

Active since June 29, 2019PECOS Enrolled
100/100
CMS Quality Rating
1200 PORT ARTHUR RD, LADYSMITH, WI 54848(715) 532-2300 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 6, 2022, Jul 26, 2022 (2 updates tracked since 2022).

About Andrey Mironenko Md NPPES

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

ANDREY MIRONENKO MD (NPI 1174185292) is an individual emergency medicine provider in Ladysmith, Wisconsin, licensed in Wisconsin (76887-20) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174185292
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameANDREY MIRONENKOCredential: MD
Location Address1200 PORT ARTHUR RDLadysmith, WI 54848-1137
Mailing Address1200 Port Arthur RdLadysmith, WI 54848-1137 · (715) 532-2300
Sole ProprietorNo
Enumeration DateJune 29, 2019
Last NPPES UpdateFebruary 13, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2024
NPI 1174185292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in WI · 76887-20
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1200 PORT ARTHUR RD, Ladysmith, WI 54848

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 (PECOS)

Andrey Mironenko 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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
35 services35 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
34 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54848 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.25
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Family)
1200 PORT ARTHUR RD
LADYSMITH, WI 54848
Nurse Practitioner (Family)
1200 PORT ARTHUR RD
LADYSMITH, WI 54848
Clinic/Center (Rural Health)
1200 PORT ARTHUR RD
LADYSMITH, WI 54848
Nurse Practitioner (Family)
1200 PORT ARTHUR RD
LADYSMITH, WI 54848
Nurse Practitioner (Family)
1200 PORT ARTHUR RD
LADYSMITH, WI 54848
Occupational Therapist
1200 PORT ARTHUR RD
LADYSMITH, WI 54848
Nurse Practitioner (Psychiatric/Mental Health)
1200 PORT ARTHUR RD
LADYSMITH, WI 54848
Physical Therapist
1200 PORT ARTHUR RD
LADYSMITH, WI 54848

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 Andrey Mironenko's NPI number?

The NPI number for Andrey Mironenko is 1174185292. It was assigned to this individual provider in the NPPES registry on June 29, 2019.

Where is Andrey Mironenko located?

Andrey Mironenko practices at 1200 Port Arthur Rd, Ladysmith, WI 54848. The listed phone number is (715) 532-2300.

What is Andrey Mironenko's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Andrey Mironenko enrolled in Medicare?

Yes. Andrey Mironenko is registered in the Medicare PECOS enrollment system.

What insurance does Andrey Mironenko accept?

Health plans from Medica and Sanford Health Plan list Andrey Mironenko 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 Andrey Mironenko was last updated on February 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.