SOWJANYA BAPANI MD
NPI 1235443540
Hospitalist in Marshfield, WI

Active since July 28, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1000 N OAK AVE, MARSHFIELD, WI 54449(715) 387-5501 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 3, 2025, Jan 3, 2023, Apr 1, 2021 (3 updates tracked since 2021).

About Sowjanya Bapani Md NPPES

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

SOWJANYA BAPANI MD (NPI 1235443540) is an individual hospitalist provider in Marshfield, Wisconsin, licensed in Wisconsin (56298) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1235443540
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameSOWJANYA BAPANICredential: MD
Location Address1000 N OAK AVEMarshfield, WI 54449-5777
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5501
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 28, 2010
Last NPPES UpdateNovember 3, 20253 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
NPI 1235443540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in WI · 56298
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 56298 (WI)
1000 N OAK AVE, Marshfield, WI 54449

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

Sowjanya Bapani Md 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 ID5890922207
PECOS Enrollment IDI20131210001536
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 4

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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
67 services31 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
40 services40 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
15 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Marshfield Medical Center - Neillsville

Critical Access Hospitals · Neillsville, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521323
LocationN3708 River AveNeillsville, WI 54456 · Clark County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54449 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.02
Promoting Interoperability98
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.

Obstetrics & Gynecology
1000 N OAK AVE
MARSHFIELD, WI 54449
Nurse Practitioner
1000 N OAK AVE
MARSHFIELD, WI 54449
Dietitian, Registered
1000 N OAK AVE
MARSHFIELD, WI 54449
Physician Assistant
1000 N OAK AVE
MARSHFIELD, WI 54449
Nurse Anesthetist, Certified Registered
1000 N OAK AVE
MARSHFIELD, WI 54449
Internal Medicine
1000 N OAK AVE
MARSHFIELD, WI 54449
Radiology (Vascular & Interventional Radiology)
1000 N OAK AVE
MARSHFIELD, WI 54449
Nurse Practitioner
1000 N OAK AVE
MARSHFIELD, WI 54449

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 Sowjanya Bapani's NPI number?

The NPI number for Sowjanya Bapani is 1235443540. It was assigned to this individual provider in the NPPES registry on July 28, 2010.

Where is Sowjanya Bapani located?

Sowjanya Bapani practices at 1000 N Oak Ave, Marshfield, WI 54449. The listed phone number is (715) 387-5501.

What is Sowjanya Bapani's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Sowjanya Bapani enrolled in Medicare?

Yes. Sowjanya Bapani 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 Sowjanya Bapani accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and Sanford Health Plan list Sowjanya Bapani 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.

Is Sowjanya Bapani affiliated with any hospitals?

According to CMS data, Sowjanya Bapani is affiliated with Marshfield Medical Center and Marshfield Medical Center - Neillsville.

When was this NPI record last updated?

The NPPES record for Sowjanya Bapani was last updated on November 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.