DR. KRISTEN M GOELZER MD
NPI 1275686933
Pediatrics in Janesville, WI

Active since January 18, 2007PECOS EnrolledAccepts Medicare Assignment
3524 E MILWAUKEE ST, JANESVILLE, WI 53546(608) 756-7100 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kristen M Goelzer Md NPPES

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

DR. KRISTEN M GOELZER MD (NPI 1275686933) is an individual pediatrics provider in Janesville, Wisconsin, licensed in Wisconsin (42681) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Mercy Health System Corp, and is a graduate of Medical College Of Wisconsin (1999).

NPPES Registry Identity

NPI1275686933
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KRISTEN M GOELZERCredential: MD
Location Address3524 E MILWAUKEE STJanesville, WI 53546-1626
Mailing Address3524 E Milwaukee StJanesville, WI 53546-1626 · (608) 756-7100
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1999
Enumeration DateJanuary 18, 2007
Last NPPES UpdateAugust 11, 2020
NPPES CertifiedAugust 11, 2020
NPI 1275686933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in WI · 42681
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3524 E MILWAUKEE ST, Janesville, WI 53546

Other Identifiers 1

Medicaid34401100WI

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. Kristen M Goelzer 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 ID3779613047
PECOS Enrollment IDI20100612000073
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 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.

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.
373 services207 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.
168 services168 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.
35 services35 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.
29 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Mercy Walworth Hospital & Medical Center

Critical Access Hospitals · Lake Geneva, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521357
LocationN2950 State Road 67Lake Geneva, WI 53147 · Walworth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53546 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.

Referred Medical Equipment & Supplies CMS DME claims 6

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
10 suppliers46 claims106 services$6.33 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers18 claims21 services$1.04 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
3 suppliers60 claims60 services$84.17 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$33.26 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$214.01 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 supplier24 claims24 services$31.86 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.

Physician Assistant
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Family Medicine
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Orthopaedic Surgery (Hand Surgery)
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Physical Therapist
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Physical Therapist
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Dietitian, Registered
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Internal Medicine
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Emergency Medicine
3524 E MILWAUKEE ST
JANESVILLE, WI 53546

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 Kristen Goelzer's NPI number?

The NPI number for Kristen Goelzer is 1275686933. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Kristen Goelzer located?

Kristen Goelzer practices at 3524 E Milwaukee St, Janesville, WI 53546. The listed phone number is (608) 756-7100.

What is Kristen Goelzer's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kristen Goelzer enrolled in Medicare?

Yes. Kristen Goelzer 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 Kristen Goelzer accept?

Health plans from Anthem Blue Cross and Blue Shield and MercyCare Health Plans list Kristen Goelzer 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 Kristen Goelzer affiliated with any hospitals?

According to CMS data, Kristen Goelzer is affiliated with Mercy Health System Corp, University Of Wi Hospitals & Clinics Authority and Mercy Walworth Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Kristen Goelzer was last updated on August 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.