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DR. STEVEN A SANDSTROM M.D.
NPI 1174625610
Psychiatry & Neurology - Neurology in Fond Du Lac, WI

Active since September 04, 2006PECOS EnrolledAccepts Medicare Assignment
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937(920) 907-7000(920) 907-7110 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 13, 2021, Feb 3, 2017, Feb 17, 2016 (3 updates tracked since 2016).

About Dr. Steven A Sandstrom M.d. NPPES

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

DR. STEVEN A SANDSTROM M.D. (NPI 1174625610) is an individual neurology provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (54351-20) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and maintains a secondary practice location in Marshfield.

NPPES Registry Identity

NPI1174625610
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. STEVEN A SANDSTROMCredential: M.D.
Location Address210 WISCONSIN AMERICAN DRFond Du Lac, WI 54937-2999
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(920) 907-7000
Fax(920) 907-7110
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateSeptember 4, 2006
Last NPPES UpdateApril 25, 20253 updates tracked since enumeration
NPPES CertifiedApril 18, 2025
✔ NPI 1174625610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in WI · 54351-20
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 01065870A (IN)
210 WISCONSIN AMERICAN DR, Fond Du Lac, WI 54937
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Secondary Practice Location 1

Location 11000 North Oak AvenueMarshfield, WI 54449-5703 · Phone (715) 387-5511

Other Identifiers 3

Medicaid100052364WI
Other54351-20WI · Dept. Of Safety And Professional Services
Other01065870AIN · Indiana Professional Licensing Agency

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners.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

Dr. Steven A Sandstrom M.d. 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 ID9537484720
PECOS Enrollment IDI20151218000109
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 Steven Sandstrom reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beaver Dam Community Hospitals Inc
19 mi
Family Medicine
180 GATEWAY DR
Waupun, WI 53963
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,447 clinicians in this Medicare group
NPI 1629374780 (920) 345-1306
Mchs Hospitals, Inc.
73 mi
Mental Health (Including Community Mental Health Center)
2450 VINEYARD DR
Plover, WI 54467
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
NPI 1386249894 (715) 342-0290
Marshfield Clinic Inc
108 mi
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
NPI 1952347981 (715) 387-5511
Memorial Hospital, Inc
122 mi
Clinical Medical Laboratory
216 SUNSET PL, MEMORIAL HOSPITAL, INC
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1346239373 (Wisconsin)
  • 1,283 clinicians in this Medicare group
NPI 1679746747 (715) 743-3101
Flambeau Hospital Inc
179 mi
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
NPI 1194317966 (715) 762-2484
Lakeview Medical Center Inc Of Rice Lake
192 mi
Clinic/Center
806 2ND ST
Chetek, WI 54728
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
NPI 1659008605 (715) 924-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
239 services65 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
100 services78 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

Hospital Affiliations CMS Care Compare 5

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

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Marshfield Medical Center - Weston

Acute Care Hospitals · Weston, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520202
Location3400 Ministry ParkwayWeston, WI 54476 · Marathon County
Emergency services Birthing friendly

Marshfield Medical Center - Minocqua

Acute Care Hospitals · Minocqua, WI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520212
Location9576 Highway 70Minocqua, WI 54548 · Oneida County
Emergency services Birthing friendly

Marshfield Medical Center - Neillsville

Critical Access Hospitals · Neillsville, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521323
LocationN3708 River AveNeillsville, WI 54456 · Clark County
Emergency services

Aspirus Medford Hospital & Clinics, Inc

Critical Access Hospitals · Medford, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521324
Location135 S Gibson StMedford, WI 54451 · Taylor County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54937 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.

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.

JEANETTE ROEHL APNP FNP
Nurse Practitioner
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Fond Du Lac County (920) 907-7000
NICHOLE R NELSON APNP
Nurse Practitioner
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Fond Du Lac County (920) 907-7025
THERESA J BASELEY NP
Nurse Practitioner
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Fond Du Lac County (920) 907-7000
DONALD C STEWARD MD
Pediatrics
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Fond Du Lac County (920) 907-7000
JANET J TESKE APNP
Nurse Practitioner
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Fond Du Lac County (920) 907-7025
BARBARA D ZINK MD
Pediatrics
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Fond Du Lac County (920) 907-7000
HAILEY JO LEONARD
Nurse Practitioner (Primary Care)
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Fond Du Lac County (920) 907-7000
TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Fond Du Lac County (920) 907-0689

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 Steven Sandstrom's NPI number?

The NPI number for Steven Sandstrom is 1174625610. It was assigned to this individual provider in the NPPES registry on September 4, 2006.

Where is Steven Sandstrom located?

Steven Sandstrom practices at 210 Wisconsin American Dr, Fond Du Lac, WI 54937. The listed phone number is (920) 907-7000.

What is Steven Sandstrom's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Steven Sandstrom enrolled in Medicare?

Yes. Steven Sandstrom 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 Steven Sandstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Steven Sandstrom reassigns Medicare benefits to 6 organizations: Beaver Dam Community Hospitals Inc (Waupun, WI), Mchs Hospitals, Inc. (Plover, WI), Marshfield Clinic Inc (Marshfield, WI), Memorial Hospital, Inc (Neillsville, WI), Flambeau Hospital Inc (Park Falls, 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 Steven Sandstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Steven Sandstrom accept?

Health plans from Anthem Blue Cross and Blue Shield and HealthPartners list Steven Sandstrom 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 Steven Sandstrom affiliated with any hospitals?

According to CMS data, Steven Sandstrom is affiliated with Marshfield Medical Center, Marshfield Medical Center - Weston, Marshfield Medical Center - Minocqua, Marshfield Medical Center - Neillsville and Aspirus Medford Hospital & Clinics, Inc.

When was this NPI record last updated?

The NPPES record for Steven Sandstrom was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.