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EDGAR BETANCOURT M.D.
NPI 1174593875
Pathology - Anatomic Pathology & Clinical Pathology in Wausau, WI

Active since January 25, 2006
100/100
CMS Quality Rating
333 PINE RIDGE BLVD, WAUSAU, WI 54401(715) 847-2130 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edgar Betancourt M.d. NPPES

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

EDGAR BETANCOURT M.D. (NPI 1174593875) is an individual anatomic pathology & clinical pathology provider in Wausau, Wisconsin, licensed in Wisconsin (43096) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1174593875
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameEDGAR BETANCOURTCredential: M.D.
Location Address333 PINE RIDGE BLVDWausau, WI 54401-4120
Mailing Address2800 Westhill DrWausau, WI 54401-3771 · (715) 847-0075
Phone(715) 847-2130
Sole ProprietorNo
Enumeration DateJanuary 25, 2006
Last NPPES UpdateOctober 18, 2023
NPPES CertifiedOctober 18, 2023
✔ NPI 1174593875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in WI · 43096
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
333 PINE RIDGE BLVD, Wausau, WI 54401
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Other Identifiers 1

Medicaid34061700WI

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
Quality100
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.

ASPIRUS MEDICAL GROUP, INC.
Clinic/Center
333 PINE RIDGE BLVD, SUITE 185
WAUSAU, WI 54401
Marathon County (715) 847-0477
STEWART MICHAEL WENTE MD
Emergency Medicine
333 PINE RIDGE BLVD
WAUSAU, WI 54401
Marathon County (715) 847-2121
KERRY MULLEN
Physical Therapist
333 PINE RIDGE BLVD
WAUSAU, WI 54401
Marathon County (715) 847-2846
MRS. DANIELLE RUNNOE PA
Physician Assistant
333 PINE RIDGE BLVD
WAUSAU, WI 54401
Marathon County (715) 817-2160
DR. SAMANTHA MARIE MORACHE DPT
Physical Therapist
333 PINE RIDGE BLVD
WAUSAU, WI 54401
Marathon County (800) 283-2881
MRS. KIRSTEN SCHWARTZ M.A./ CCC-SLP
Speech-Language Pathologist
333 PINE RIDGE BLVD
WAUSAU, WI 54401
Marathon County (715) 847-2121
DR. JACOB JOSEPH DIRKMAN DO
Emergency Medicine (Emergency Medical Services)
333 PINE RIDGE BLVD
WAUSAU, WI 54401
Marathon County (800) 283-2881
DR. DERRICK ROBSON SIEBERT M.D.
Radiology (Diagnostic Radiology)
333 PINE RIDGE BLVD
WAUSAU, WI 54401
Marathon County (715) 847-2283

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 Edgar Betancourt's NPI number?

The NPI number for Edgar Betancourt is 1174593875. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Edgar Betancourt located?

Edgar Betancourt practices at 333 Pine Ridge Blvd, Wausau, WI 54401. The listed phone number is (715) 847-2130.

What is Edgar Betancourt's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

When was this NPI record last updated?

The NPPES record for Edgar Betancourt was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.