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CLAUDIA GINETA ISTRATE MD
NPI 1184135949
Internal Medicine in Wausau, WI

Active since October 19, 2017PECOS Enrolled
82.79/100
CMS Quality Rating
2727 PLAZA DR, WAUSAU, WI 54401(715) 847-3000 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 6, 2023, Mar 30, 2021, Oct 19, 2017 (3 updates tracked since 2017).

About Claudia Gineta Istrate Md NPPES

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

CLAUDIA GINETA ISTRATE MD (NPI 1184135949) is an individual internal medicine provider in Wausau, Wisconsin, licensed in Wisconsin (68089-20) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184135949
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCLAUDIA GINETA ISTRATECredential: MD
Location Address2727 PLAZA DRWausau, WI 54401-4129
Mailing Address2727 Plaza DrWausau, WI 54401-4192 · (715) 847-3000
Phone(715) 847-3000
Sole ProprietorNo
Enumeration DateOctober 19, 2017
Last NPPES UpdateNovember 6, 20233 updates tracked since enumeration
NPPES CertifiedNovember 6, 2023
✔ NPI 1184135949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 68089-20
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2727 PLAZA DR, Wausau, WI 54401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Claudia Gineta Istrate 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Claudia Istrate reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mchs Hospitals Inc
Same address
Internal Medicine
2727 PLAZA DR
Wausau, WI 54401
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
NPI 1164159109 (715) 847-3000
Marshfield Clinic Inc
33 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

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
29 services21 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
17 services17 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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.

82.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.98
Promoting Interoperability99
Improvement Activities40
Cost66.19

Referred Medical Equipment & Supplies CMS DME claims

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers12 claims12 services$14.94 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.

MS. JACQUELYN FORBES KEARNS MS,ARNP-C
Nurse Practitioner (Adult Health)
2727 PLAZA DR
WAUSAU, WI 54401
Marathon County (715) 847-3000
ELAINE J. OLSEN CRNA
Nurse Anesthetist, Certified Registered
2727 PLAZA DR
WAUSAU, WI 54401
Marathon County (715) 847-3000
SWATI S BISWAS MD
Physical Medicine & Rehabilitation
2727 PLAZA DR
WAUSAU, WI 54401
Marathon County (715) 847-3042
HEATHER L. LANDWEHR PA
Physician Assistant
2727 PLAZA DR
WAUSAU, WI 54401
Marathon County (715) 847-3000
JOHN F WEBB MD
Emergency Medicine
2727 PLAZA DR
WAUSAU, WI 54401
Marathon County (715) 847-3434
DR. ARTI KHURANA MD
Internal Medicine (Rheumatology)
2727 PLAZA DR
WAUSAU, WI 54401
Marathon County (715) 847-3000
SARAH S NIELSEN DO
Radiology (Diagnostic Radiology)
2727 PLAZA DR
WAUSAU, WI 54401
Marathon County (715) 847-3000
THOMAS CRAIG HUPY M.D.
Emergency Medicine
2727 PLAZA DR
WAUSAU, WI 54401
Marathon County (715) 847-3000

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 Claudia Istrate's NPI number?

The NPI number for Claudia Istrate is 1184135949. It was assigned to this individual provider in the NPPES registry on October 19, 2017.

Where is Claudia Istrate located?

Claudia Istrate practices at 2727 Plaza Dr, Wausau, WI 54401. The listed phone number is (715) 847-3000.

What is Claudia Istrate's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Claudia Istrate enrolled in Medicare?

Yes. Claudia Istrate is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Claudia Istrate's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claudia Istrate reassigns Medicare benefits to 2 organizations: Mchs Hospitals Inc (Wausau, WI) and Marshfield Clinic Inc (Marshfield, WI). 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 Claudia Istrate's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Claudia Istrate was last updated on November 6, 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.