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JOSEPH L. ELSNER DO
NPI 1245207604
Family Medicine in Durand, WI

Active since March 03, 2006PECOS Enrolled
72.87/100
CMS Quality Rating
905 7TH AVE W, DURAND, WI 54736(715) 672-5981 Get Directions Write a Review

NPPES record last updated: February 15, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Joseph L. Elsner Do NPPES

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

JOSEPH L. ELSNER DO (NPI 1245207604) is an individual family medicine provider in Durand, Wisconsin, licensed in Wisconsin (47588) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245207604
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOSEPH L. ELSNERCredential: DO
Location Address905 7TH AVE WDurand, WI 54736-1755
Mailing AddressN1911 590th StMenomonie, WI 54751-5679 · (715) 664-8453
Phone(715) 672-5981
Sole ProprietorNo
Enumeration DateMarch 3, 2006
Last NPPES UpdateFebruary 15, 2011
✔ NPI 1245207604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 47588
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 47588 (WI)
905 7TH AVE W, Durand, WI 54736
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Other Identifiers 1

Medicare UPINH66727WI

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph L. Elsner Do 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 Joseph Elsner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aspirus Stanley Hospital & Clinics, Inc.
56 mi
Critical Access
1120 PINE ST
Stanley, WI 54768
  • Reassigned Medicare billing, Wisconsin enrollment
  • 168 clinicians in this Medicare group
NPI 1053391730 (715) 644-5571

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 54736 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.

72.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.91
Promoting Interoperability100
Improvement Activities40
Cost10

Other Providers at the Same Location NPPES 6

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

ROBERT L DOHLMAN MD
Family Medicine
905 7TH AVE W
DURAND, WI 54736
Pepin County (715) 672-5981
JOHN ROGER SNYDER MD
Family Medicine
905 7TH AVE W
DURAND, WI 54736
Pepin County (715) 672-5981
ANGELA LINDSTROM APNP
Nurse Practitioner (Family)
905 7TH AVE W
DURAND, WI 54736
Pepin County (715) 672-5981
ADVENT HEALTH MEDICAL GROUP PRIMARY CARE AT DURAND NORTH
Family Medicine
905 7TH AVE W
DURAND, WI 54736
Pepin County (715) 672-5981
ROBYN L SANDIN MD
Family Medicine
905 7TH AVE W
DURAND, WI 54736
Pepin County (715) 672-5981
BRADY DIDION
Family Medicine
905 7TH AVE W
DURAND, WI 54736
Pepin County (715) 672-5981

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 Joseph Elsner's NPI number?

The NPI number for Joseph Elsner is 1245207604. It was assigned to this individual provider in the NPPES registry on March 3, 2006.

Where is Joseph Elsner located?

Joseph Elsner practices at 905 7th Ave W, Durand, WI 54736. The listed phone number is (715) 672-5981.

What is Joseph Elsner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joseph Elsner enrolled in Medicare?

Yes. Joseph Elsner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joseph Elsner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Elsner reassigns Medicare benefits to Aspirus Stanley Hospital & Clinics, Inc. (Stanley, 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 Joseph Elsner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Elsner accept?

Health plans from Anthem Blue Cross and Blue Shield list Joseph Elsner 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 Joseph Elsner was last updated on February 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.