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SARAH C CAMPBELL MD
NPI 1184637795
Pediatrics in Appleton, WI

Active since August 14, 2006PECOS Enrolled
1506 S. ONEIDA STREET, PEDIATRICS, APPLETON, WI 54915(920) 730-4950 Get Directions Write a Review

NPPES record last updated: November 30, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sarah C Campbell Md NPPES

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

SARAH C CAMPBELL MD (NPI 1184637795) is an individual pediatrics provider in Appleton, Wisconsin, licensed in Wisconsin (45366) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184637795
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSARAH C CAMPBELLCredential: MD
Location Address1506 S. ONEIDA STREET, PEDIATRICSAppleton, WI 54915-1569
Mailing Address1506 S. Oneida Street, PediatricsAppleton, WI 54915-1569 · (920) 730-4950
Phone(920) 730-4950
Sole ProprietorNo
Enumeration DateAugust 14, 2006
Last NPPES UpdateNovember 30, 2011
✔ NPI 1184637795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in WI · 45366✔ Licensed in MI · 4301083413
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1506 S. ONEIDA STREET, Appleton, WI 54915
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Other Identifiers 7

Other0C16002Medicare Group
Medicare UPINI16511
Medicaid104654657MI
Medicare PIN0C16002071MI
Medicaid35388600WI
Other0829560001MI · Medicare Dme
OtherSC083413MI · Blue Cross State Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarah C Campbell 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 Reassignment

Medicare enrollment records show Sarah Campbell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ascension Medical Group-Fox Valley Wisconsin, Inc
5.2 mi
Multi-Specialty
101 MAIN ST
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • 444 clinicians in this Medicare group
NPI 1730126392 (920) 727-4200

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54915 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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%51 patients5/55-star benchmark: 100%
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.
98%1,583 patients4/55-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…
80%247 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.
100%177 patients5/55-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.
97%2,133 patients5/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
60%50 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
57%257 patients3/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 95% · 22 patients
82%22 patients4/55-star benchmark: 98%
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…
67%2,133 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…
4%2,133 patients1/55-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.
23%2,133 patients
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 59% · 1,322 patients
Patients physicalActivity: 59% · 1,322 patients
91%1,322 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLIE RAVANELLI
Physical Therapist
1506 S. ONEIDA STREET
APPLETON, WI 54915
Calumet County (920) 738-2000
MARY T. L. SANKEY PT
Physical Therapist
1506 S. ONEIDA STREET
APPLETON, WI 54915
Calumet County (920) 738-2000

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 Sarah Campbell's NPI number?

The NPI number for Sarah Campbell is 1184637795. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Sarah Campbell located?

Sarah Campbell practices at 1506 S. Oneida Street Pediatrics, Appleton, WI 54915. The listed phone number is (920) 730-4950.

What is Sarah Campbell's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sarah Campbell enrolled in Medicare?

Yes. Sarah Campbell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sarah Campbell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Campbell reassigns Medicare benefits to Ascension Medical Group-Fox Valley Wisconsin, Inc (Neenah, WI). The 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 Sarah Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Campbell accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan and Network Health list Sarah Campbell 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 Sarah Campbell was last updated on November 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.