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BENJAMIN THOMAS ABADEER DO
NPI 1255541603
Surgery in Appleton, WI

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
5320 W MICHAELS DR, APPLETON, WI 54913(920) 882-8200(920) 882-8210 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 9, 2025, Feb 5, 2025, Mar 21, 2016 (3 updates tracked since 2016).

About Benjamin Thomas Abadeer Do NPPES

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

BENJAMIN THOMAS ABADEER DO (NPI 1255541603) is an individual surgery provider in Appleton, Wisconsin, licensed in Wisconsin (61468) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Oshkosh, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2006).

NPPES Registry Identity

NPI1255541603
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameBENJAMIN THOMAS ABADEERCredential: DO
Location Address5320 W MICHAELS DRAppleton, WI 54913-8446
Mailing Address5320 W Michaels DrAppleton, WI 54913-8446 · (920) 882-8200
Phone(920) 882-8200
Fax(920) 882-8210
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2006
Enumeration DateMay 23, 2007
Last NPPES UpdateJune 9, 20253 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1255541603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WI · 61468
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
5320 W MICHAELS DR, Appleton, WI 54913
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Network Health.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

Benjamin Thomas Abadeer Do 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 ID9335399641
PECOS Enrollment IDI20140115000683
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.

Hospital Affiliations CMS Care Compare

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

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520198
Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County
Emergency services Birthing friendly

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.

Other Providers at the Same Location NPPES 19

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

JAMI ELIZABETH HELLMER NP
Nurse Practitioner
5320 W MICHAELS DR
APPLETON, WI 54913
Outagamie County (920) 882-8200
KERI LYNN VOLINKATY CSFA
Specialist/Technologist, Other (Surgical Technologist)
5320 W MICHAELS DR
APPLETON, WI 54913
Outagamie County (920) 882-8200
ANTHONY KOU LEE PA-C
Physician Assistant
5320 W MICHAELS DR
APPLETON, WI 54913
Outagamie County (920) 585-4846
AMANDA L GREENE MD
Anesthesiology
5320 W MICHAELS DR
APPLETON, WI 54913
Outagamie County (920) 882-8200
MS. JENNIFER ANN HEENAN APNP
Nurse Practitioner
5320 W MICHAELS DR
APPLETON, WI 54913
Outagamie County (920) 882-8200
JESSICA ZIELINSKI PT
Physical Therapist
5320 W MICHAELS DR
APPLETON, WI 54913
Outagamie County (920) 882-8200
ALEX MINTEN PT
Physical Therapist
5320 W MICHAELS DR
APPLETON, WI 54913
Outagamie County (920) 882-8200
MICHAEL ANTHONY ROEGNER MD
Anesthesiology (Pain Medicine)
5320 W MICHAELS DR
APPLETON, WI 54913
Outagamie County (920) 882-8200

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 Benjamin Abadeer's NPI number?

The NPI number for Benjamin Abadeer is 1255541603. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Benjamin Abadeer located?

Benjamin Abadeer practices at 5320 W Michaels Dr, Appleton, WI 54913. The listed phone number is (920) 882-8200.

What is Benjamin Abadeer's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Benjamin Abadeer enrolled in Medicare?

Yes. Benjamin Abadeer 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 Benjamin Abadeer accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Network Health list Benjamin Abadeer 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 Benjamin Abadeer affiliated with any hospitals?

According to CMS data, Benjamin Abadeer is affiliated with Aurora Medical Ctr Oshkosh.

When was this NPI record last updated?

The NPPES record for Benjamin Abadeer was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.