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DR. DOUGLAS RANDAL ZABROWSKI M.D.
NPI 1194012179
Pediatrics - Pediatric Gastroenterology in Appleton, WI

Active since June 29, 2011PECOS Enrolled
2575 E EVERGREEN DR, APPLETON, WI 54913(920) 969-5353(414) 337-7201 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2025, Nov 6, 2023, Jun 14, 2023 and 5 more (8 updates tracked since 2017).

About Dr. Douglas Randal Zabrowski M.d. NPPES

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

DR. DOUGLAS RANDAL ZABROWSKI M.D. (NPI 1194012179) is an individual pediatric gastroenterology provider in Appleton, Wisconsin, licensed in Wisconsin (67448) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1194012179
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameDR. DOUGLAS RANDAL ZABROWSKICredential: M.D.
Location Address2575 E EVERGREEN DRAppleton, WI 54913-8910
Mailing Address2575 E Evergreen DrAppleton, WI 54913-8910 · (920) 969-5353 · Fax (414) 337-7201
Phone(920) 969-5353
Fax(414) 337-7201
Sole ProprietorNo
Enumeration DateJune 29, 2011
Last NPPES UpdateSeptember 17, 20258 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1194012179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in WI · 67448
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
2575 E EVERGREEN DR, Appleton, WI 54913
Open in Google Maps ↗

Secondary Practice Locations 3

Location 19000 W Wisconsin AveMilwaukee, WI 53226-4874 · Phone (414) 266-3690 · Fax (414) 266-3676
Location 2744 S Webster AveGreen Bay, WI 54301-3505 · Phone (920) 433-7856 · Fax (920) 433-6090
Location 32550 S Ashland AveAshwaubenon, WI 54304-5252 · Phone (920) 969-5353

Other Identifiers 1

Medicaid1194012179WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas Randal Zabrowski M.d. 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 Douglas Zabrowski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Medical College Of Wisconsin, Inc.
89 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101
Children's Specialty Group, Inc.
89 mi
Pediatrics
9000 W WISCONSIN AVE
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Childrens Specialty Group Inc
  • 424 clinicians in this Medicare group
NPI 1942970405 (414) 266-2000

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 54913 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.

KALYN MAHONEY CPNP-AC
Nurse Practitioner
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 969-5353
ROBYN W LAURITSEN APNP
Nurse Practitioner (Family)
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 404-2240
JENNIFER A BLEVINS
Occupational Therapist
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 969-5353
KENDALL LUCKEROTH OTR/L
Occupational Therapist
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 969-5353
EMILY TYMOS
Occupational Therapist
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 969-5353
BRADLEY BALINT MD
Pediatrics
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 969-5353
ROBERT BECKER MD
Pediatrics
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 969-5353
DR. OLIVIA MAE RIEMER AU.D.
Audiologist
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (414) 266-2934

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 Douglas Zabrowski's NPI number?

The NPI number for Douglas Zabrowski is 1194012179. It was assigned to this individual provider in the NPPES registry on June 29, 2011.

Where is Douglas Zabrowski located?

Douglas Zabrowski practices at 2575 E Evergreen Dr, Appleton, WI 54913. The listed phone number is (920) 969-5353.

What is Douglas Zabrowski's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Douglas Zabrowski enrolled in Medicare?

Yes. Douglas Zabrowski is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Douglas Zabrowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Zabrowski reassigns Medicare benefits to 2 organizations: The Medical College Of Wisconsin, Inc. (Milwaukee, WI) and Children's Specialty Group, Inc. (Milwaukee, 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 Douglas Zabrowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Zabrowski accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 1 other insurer list Douglas Zabrowski 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 Douglas Zabrowski was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.