DR. KELLI LOUISE SASADA M.D.
NPI 1265698690
Obstetrics & Gynecology - Gynecology in Pleasant Prairie, WI

Q: What is Kelli Sasada's NPI number?

The NPI number for Kelli Sasada is 1265698690. It was assigned to this individual provider in the NPPES registry on August 5, 2008.

Q: What is Kelli Sasada's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Q: When was this NPI record last updated?

The NPPES record for Kelli Sasada was last updated on August 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 05, 2008PECOS EnrolledAccepts Medicare Assignment

79.61/100

CMS Quality Rating

9555 76TH ST, SUITE 4105, PLEASANT PRAIRIE, WI 53158(262) 577-8080(262) 577-8081 Get Directions Write a Review

NPPES record last updated: August 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kelli Louise Sasada M.d. NPPES

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

DR. KELLI LOUISE SASADA M.D. (NPI 1265698690) is an individual gynecology provider in Pleasant Prairie, Wisconsin, licensed in Wisconsin (57485) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Other (2007).

NPPES Registry Identity

NPI1265698690

Entity TypeIndividualFemale

Primary Taxonomy207VG0400X

Provider Legal NameDR. KELLI LOUISE SASADACredential: M.D.

Location Address9555 76TH ST, SUITE 4105Pleasant Prairie, WI 53158-1984

Mailing Address9555 76th St, Suite 4105Pleasant Prairie, WI 53158-1984 · (262) 577-8080 · Fax (262) 577-8081

Phone(262) 577-8080

Fax(262) 577-8081

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateAugust 5, 2008

Last NPPES UpdateAugust 10, 2012

✔ NPI 1265698690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207VG0400X

Licenses✔ Licensed in WI · 57485✔ Licensed in WA · MD60215747

Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

9555 76TH ST, Pleasant Prairie, WI 53158

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Other Identifiers 3

Medicare PIN8902196WA

Medicaid1265698690WI

Other0281999WA · Dept Of Labor & Industries

Accepted Insurance

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

Dr. Kelli Louise Sasada M.d. 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 ID9032389804

PECOS Enrollment IDI20121114000198

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

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

21 services17 patients

Hospital Affiliations CMS Care Compare

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number520021

Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53158 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

$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.

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.

79.61/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.88

Promoting Interoperability

100

Improvement Activities

Cost

61.15

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.

FROEDTERT SOUTH, INC.

General Acute Care Hospital