DR. BENJAMIN STEPHEN ZELLNER M.D.
NPI 1265752877
Orthopaedic Surgery in Green Bay, WI

Active since June 04, 2010PECOS EnrolledAccepts Medicare Assignment
69.3/100
CMS Quality Rating
2223 LIME KILN RD STE 1, GREEN BAY, WI 54311(920) 430-8113(920) 430-8122 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Benjamin Stephen Zellner M.d. NPPES

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

DR. BENJAMIN STEPHEN ZELLNER M.D. (NPI 1265752877) is an individual orthopaedic surgery provider in Green Bay, Wisconsin, licensed in Wisconsin (63834-20) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Uphs Marquette Dlp Hospital, and is a graduate of University Of Wisconsin School Of Medicine (2010).

NPPES Registry Identity

NPI1265752877
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. BENJAMIN STEPHEN ZELLNERCredential: M.D.
Location Address2223 LIME KILN RD STE 1Green Bay, WI 54311-6213
Mailing Address2223 Lime Kiln Rd Ste 1Green Bay, WI 54311-6213 · (920) 430-8113 · Fax (920) 430-8122
Fax(920) 430-8122
Sole ProprietorYes
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2010
Enumeration DateJune 4, 2010
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
NPI 1265752877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in WI · 63834-20 Licensed in TX · BP10037401
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License 63834-20 (WI)
2223 LIME KILN RD STE 1, Green Bay, WI 54311

Accepted 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. Benjamin Stephen Zellner 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 ID2264722164
PECOS Enrollment IDI20160926001835
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 15

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
272 services51 patients
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.
122 services108 patients
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.
68 services65 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
39 services34 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
38 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients

Hospital Affiliations CMS Care Compare 4

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

Uphs Marquette Dlp Hospital

Acute Care Hospitals · Marquette, MI
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230054
Location850 W Baraga AveMarquette, MI 49855 · Marquette County
Emergency services Birthing friendly

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520009
Location1506 S Oneida StAppleton, WI 54915 · Outagamie County
Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Door County Medical Center

Critical Access Hospitals · Sturgeon Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521358
Location323 South 18th AvenueSturgeon Bay, WI 54235 · Door County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 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.

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.

69.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality51.83
Promoting Interoperability86
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
92%2,754 patients4/55-star benchmark: 100%
e-Prescribing
99%268 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%627 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 677 patients
Patients screened: 99% · 677 patients
80%87 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
81%698 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
52%235 patients2/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 670 patients
Patients totalRate: 2% · 670 patients
2%670 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier30 claims30 services$86.25 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier53 claims61 services$33.66 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3913
DME-Orthotic Devices · category DF000N
3 suppliers21 claims21 services$195.57 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 13

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

Orthopaedic Surgery
2223 LIME KILN RD STE 1
GREEN BAY, WI 54311
Orthopaedic Surgery
2223 LIME KILN RD STE 1
GREEN BAY, WI 54311
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
2223 LIME KILN RD STE 1
GREEN BAY, WI 54311
Orthopaedic Surgery
2223 LIME KILN RD STE 1
GREEN BAY, WI 54311
Anesthesiology
2223 LIME KILN RD STE 1
GREEN BAY, WI 54311
Internal Medicine (Rheumatology)
2223 LIME KILN RD STE 1
GREEN BAY, WI 54311
Orthopaedic Surgery
2223 LIME KILN RD STE 1
GREEN BAY, WI 54311
Physical Medicine & Rehabilitation
2223 LIME KILN RD STE 1
GREEN BAY, WI 54311

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 Zellner's NPI number?

The NPI number for Benjamin Zellner is 1265752877. It was assigned to this individual provider in the NPPES registry on June 4, 2010.

Where is Benjamin Zellner located?

Benjamin Zellner practices at 2223 Lime Kiln Rd Ste 1, Green Bay, WI 54311. The listed phone number is (920) 430-8113.

What is Benjamin Zellner's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Benjamin Zellner enrolled in Medicare?

Yes. Benjamin Zellner 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 Zellner accept?

Health plans from Network Health and Security Health Plan list Benjamin Zellner 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 Zellner affiliated with any hospitals?

According to CMS data, Benjamin Zellner is affiliated with Uphs Marquette Dlp Hospital, Ascension NE Wisconsin - St Elizabeth Campus, St Mary's Hospital Medical Center and Door County Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Zellner was last updated on April 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.