MICHELLE C PESEK-MCCOY M.D.
NPI 1265468656
Emergency Medicine in Fond Du Lac, WI

Q: What is Michelle Pesek-mccoy's NPI number?

The NPI number for Michelle Pesek-mccoy is 1265468656. It was assigned to this individual provider in the NPPES registry on June 25, 2006. The provider is also known as Michelle J Pesek M.D..

Q: What is Michelle Pesek-mccoy's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since June 25, 2006PECOS Enrolled

430 E DIVISION ST, FOND DU LAC, WI 54935(920) 926-4600 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 7, 2020, Aug 5, 2019 (2 updates tracked since 2019).

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About Michelle C Pesek-mccoy M.d. NPPES

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

MICHELLE C PESEK-MCCOY M.D. (NPI 1265468656) is an individual emergency medicine provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (47967-020) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265468656

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameMICHELLE C PESEK-MCCOYCredential: M.D.

Location Address430 E DIVISION STFond Du Lac, WI 54935-4560

Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8343 · Fax (920) 926-8370

Phone(920) 926-4600

Sole ProprietorNo

Enumeration DateJune 25, 2006

Last NPPES UpdateDecember 7, 20202 updates tracked since enumeration

NPPES CertifiedDecember 7, 2020

✔ NPI 1265468656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in WI · 47967-020

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

430 E DIVISION ST, Fond Du Lac, WI 54935

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Other Names 1

Former Name (1)Michelle J Pesek M.d.

Other Identifiers 2

Medicaid34664800WI

OtherP00271980WI · Medicare Railroad

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle C Pesek-mccoy M.d. 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 Reassignments

Medicare enrollment records show Michelle Pesek-mccoy reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prairie Ridge Health, Inc.

44 mi

Critical Access

1515 PARK AVE
Columbus, WI 53925

Reassigned Medicare billing, Wisconsin enrollment
132 clinicians in this Medicare group

NPI 1154403657 (920) 623-2200

Froedtert & the Medical College Of Wisconsin Community Physicians, Inc.

45 mi

Internal Medicine

W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051

Reassigned Medicare billing, Wisconsin enrollment
2,294 clinicians in this Medicare group

NPI 1568787448 (262) 255-2500

The Medical College Of Wisconsin, Inc.

55 mi

Internal Medicine

8701 WATERTOWN PLANK RD
Milwaukee, WI 53226

Reassigned Medicare billing, Wisconsin enrollment
3,983 clinicians in this Medicare group

NPI 1699720086 (414) 955-7101

Madison Emergency Physicians, Sc

70 mi

Emergency Medicine

700 S PARK ST
Madison, WI 53715

Reassigned Medicare billing, Wisconsin enrollment
103 clinicians in this Medicare group

NPI 1588646095 (608) 258-6100

Emergency Physician Associates Of Wisconsin Sc

98 mi

Emergency Medicine

3100 SHORE DR
Marinette, WI 54143

Reassigned Medicare billing, Wisconsin enrollment
59 clinicians in this Medicare group

NPI 1396119426 (715) 735-4200

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 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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

94 services90 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

86 services82 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

24 services23 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54935 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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

99%861 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

CLAIRE ELIZABETH KRIZMAN

Counselor (Mental Health)