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DR. JULIA USATINSKY MD
NPI 1245347350
Internal Medicine in Milwaukee, WI

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment
945 N 12TH ST, MILWAUKEE, WI 53233(414) 219-2000 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 14, 2024, Mar 7, 2023, Nov 30, 2021 (3 updates tracked since 2021).

About Dr. Julia Usatinsky Md NPPES

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

DR. JULIA USATINSKY MD (NPI 1245347350) is an individual internal medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (45909) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1245347350
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. JULIA USATINSKYCredential: MD
Location Address945 N 12TH STMilwaukee, WI 53233-1305
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(414) 219-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 24, 2006
Last NPPES UpdateMay 14, 20243 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
✔ NPI 1245347350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 45909
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
945 N 12TH ST, Milwaukee, WI 53233
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Other Names 1

Doing Business As (3)Juliya Usyatinskiy

Secondary Practice Location 1

Location 11020 N 12th St, 2nd FloorMilwaukee, WI 53233-1308 · Phone (414) 219-7136 · Fax (414) 219-6294

Other Identifiers 1

Medicaid34650500WI

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 and accepts Medicare assignment

Dr. Julia Usatinsky 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 ID7719913425
PECOS Enrollment IDI20050714000171
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 Julia Usatinsky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aurora Medical Group, Inc.
3.6 mi
Family Medicine
3301 W FOREST HOME AVE
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1427271378 (877) 576-3544
Aurora Health Care Metro, Inc.
3.8 mi
General Acute Care Hospital
2900 W OKLAHOMA AVE
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 297 clinicians in this Medicare group
NPI 1861447179 (414) 649-6000

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

Areas of Expertise CMS Part B claims 8

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.

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.
130 services68 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.
84 services18 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
43 services43 patients
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.
24 services11 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
19 services18 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services11 patients

Hospital Affiliations CMS Care Compare

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53233 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers37 claims104 services$6.17 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers21 claims36 services$1.15 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$63.14 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$29.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

RICHARD COMPTON KURTZ II MD
Family Medicine
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-0000
MS. ANN M YOCKEY APNP
Nurse Practitioner
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-5800
DR. ALINA M WINANS MD
Emergency Medicine
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-2000
MS. MORANDA MARIA MEDINA-LOPEZ RN
Registered Nurse
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-2000
XENAYSHMA ZHAYLEENE GNAS-PACHECO
Registered Nurse (Registered Nurse First Assistant)
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 000-0000
PROGRESSIVE COMMUNITY HEALTH CENTERS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
945 N 12TH ST, URGENT CARE
MILWAUKEE, WI 53233
Milwaukee County (414) 935-8000
JOSEPH SHAOUL
Anesthesiologist Assistant
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-2000
MICHELE DUDA
Nurse Practitioner
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-7021

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 Julia Usatinsky's NPI number?

The NPI number for Julia Usatinsky is 1245347350. It was assigned to this individual provider in the NPPES registry on August 24, 2006. The provider is also known as Juliya Usyatinskiy.

Where is Julia Usatinsky located?

Julia Usatinsky practices at 945 N 12th St, Milwaukee, WI 53233. The listed phone number is (414) 219-2000.

What is Julia Usatinsky's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Julia Usatinsky enrolled in Medicare?

Yes. Julia Usatinsky 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.

Which organizations bill Medicare for Julia Usatinsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julia Usatinsky reassigns Medicare benefits to 2 organizations: Aurora Medical Group, Inc. (Milwaukee, WI) and Aurora Health Care Metro, 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 Julia Usatinsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Julia Usatinsky accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Julia Usatinsky 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 Julia Usatinsky affiliated with any hospitals?

According to CMS data, Julia Usatinsky is affiliated with Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Julia Usatinsky was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.