DR. TODD SCHUBKEGEL M.D.
NPI 1225291453
Orthopaedic Surgery in Appleton, WI

Active since July 08, 2008PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
2105 E ENTERPRISE AVE, APPLETON, WI 54913(920) 560-1000 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Todd Schubkegel M.d. NPPES

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

DR. TODD SCHUBKEGEL M.D. (NPI 1225291453) is an individual orthopaedic surgery provider in Appleton, Wisconsin, licensed in Wisconsin (56180) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2005).

NPPES Registry Identity

NPI1225291453
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. TODD SCHUBKEGELCredential: M.D.
Location Address2105 E ENTERPRISE AVEAppleton, WI 54913-7862
Mailing Address2105 E Enterprise AveAppleton, WI 54913-7862 · (920) 560-1000
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2005
Enumeration DateJuly 8, 2008
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
NPI 1225291453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in WI · 56180
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

2105 E ENTERPRISE AVE, Appleton, WI 54913

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Todd Schubkegel 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 ID9638341035
PECOS Enrollment IDI20111007000605
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.

Areas of Expertise CMS Part B claims 7

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
176 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
95 services54 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
79 services57 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
40 services33 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
25 services12 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
19 services15 patients

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
$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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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.

Specialist/Technologist (Athletic Trainer)
2105 E ENTERPRISE AVE, SUITE 113
APPLETON, WI 54913
Non-Pharmacy Dispensing Site
2105 E ENTERPRISE AVE
APPLETON, WI 54913
Nurse's Aide
2105 E ENTERPRISE AVE, STE 111
APPLETON, WI 54913
Specialist
2105 E ENTERPRISE AVE
APPLETON, WI 54913
Physical Therapist
2105 E ENTERPRISE AVE, SUITE 113
APPLETON, WI 54913
Orthopaedic Surgery
2105 E ENTERPRISE AVE
APPLETON, WI 54913
Specialist/Technologist (Athletic Trainer)
2105 E ENTERPRISE AVE
APPLETON, WI 54913
Skilled Nursing Facility
2105 E ENTERPRISE AVE
APPLETON, WI 54913

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 Todd Schubkegel's NPI number?

The NPI number for Todd Schubkegel is 1225291453. It was assigned to this individual provider in the NPPES registry on July 8, 2008.

Where is Todd Schubkegel located?

Todd Schubkegel practices at 2105 E Enterprise Ave, Appleton, WI 54913. The listed phone number is (920) 560-1000.

What is Todd Schubkegel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Todd Schubkegel enrolled in Medicare?

Yes. Todd Schubkegel 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.

What insurance does Todd Schubkegel accept?

Health plans from Anthem Blue Cross and Blue Shield and Security Health Plan list Todd Schubkegel 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 Todd Schubkegel was last updated on October 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.