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BUTTE DES MORTS PATHOLOGY, S.C.
NPI 1205886918
Pathology - Anatomic Pathology & Clinical Pathology in Appleton, WI

Active since May 11, 2006
1506 S ONEIDA ST, APPLETON, WI 54915(920) 738-2000 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Butte Des Morts Pathology, S.c. NPPES

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

BUTTE DES MORTS PATHOLOGY, S.C. (NPI 1205886918) is a healthcare organization registered as an anatomic pathology & clinical pathology in Appleton, Wisconsin and active in the NPI registry since May 2006. The organization lists Peter V Podlusky, President, as its authorized official.

NPPES Registry Identity

NPI1205886918
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameBUTTE DES MORTS PATHOLOGY, S.C.
Location Address1506 S ONEIDA STAppleton, WI 54915-1305
Mailing Address200 E Washington St, P O Box 8031Appleton, WI 54911-5490 · (800) 236-8252 · Fax (920) 739-0124
Phone(920) 738-2000
Organization SubpartNo
Authorized OfficialPeter V PodluskyPresident · (920) 738-2000
Enumeration DateMay 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1205886918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
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.
1506 S ONEIDA ST, Appleton, WI 54915
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Other Identifiers 1

Medicaid32881300WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Butte Des Morts Pathology, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Butte Des Morts Pathology, S.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

David Dedrick, MD
Pathology
NPI 1154360931
1506 S ONEIDA ST
Appleton, WI 54915
(920) 738-2000
✔ PECOS✔ Accepts MedicareSame address
Daren Tompkins, MD
Pathology
NPI 1265484687
500 S OAKWOOD RD
Oshkosh, WI 54904
(920) 236-2000
✔ PECOS✔ Accepts Medicare18 mi

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

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 Butte Des Morts Pathology, S.C.'s NPI number?

The NPI number for Butte Des Morts Pathology, S.C. is 1205886918. It was assigned to this organization in the NPPES registry on May 11, 2006.

Where is Butte Des Morts Pathology, S.C. located?

Butte Des Morts Pathology, S.C. is located at 1506 S Oneida St, Appleton, WI 54915. The listed phone number is (920) 738-2000.

What is Butte Des Morts Pathology, S.C.'s specialty?

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

Is Butte Des Morts Pathology, S.C. enrolled in Medicare?

Yes. Butte Des Morts Pathology, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Butte Des Morts Pathology, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Pathology, reassign their Medicare billing to Butte Des Morts Pathology, S.C.. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Butte Des Morts Pathology, S.C. accept?

Health plans from Anthem Blue Cross and Blue Shield list Butte Des Morts Pathology, S.C. 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 Butte Des Morts Pathology, S.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.