CALLISIA CLARKE MD
NPI 1275752578
Surgery - Surgical Oncology in Milwaukee, WI
About Callisia Clarke Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CALLISIA CLARKE MD (NPI 1275752578) is an individual surgical oncology provider in Milwaukee, Wisconsin, licensed in Wisconsin (66205) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2006).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Callisia Clarke 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.
Medicare Billing Reassignment
Medicare enrollment records show Callisia Clarke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- 3,983 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Froedtert Memorial Lutheran Hospital
Acute Care Hospitals · Milwaukee, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
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 Callisia Clarke's NPI number?
The NPI number for Callisia Clarke is 1275752578. It was assigned to this individual provider in the NPPES registry on April 25, 2007.
Where is Callisia Clarke located?
Callisia Clarke practices at 9200 W Wisconsin Ave Surgical Oncology, Milwaukee, WI 53226. The listed phone number is (414) 805-5020.
What is Callisia Clarke's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.
Is Callisia Clarke enrolled in Medicare?
Yes. Callisia Clarke 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.
Which organization bills Medicare for Callisia Clarke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Callisia Clarke reassigns Medicare benefits to The Medical College Of Wisconsin, Inc. (Milwaukee, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Callisia Clarke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Callisia Clarke accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health list Callisia Clarke 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 Callisia Clarke affiliated with any hospitals?
According to CMS data, Callisia Clarke is affiliated with Froedtert Memorial Lutheran Hospital.
When was this NPI record last updated?
The NPPES record for Callisia Clarke was last updated on December 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Callisia Clarke, MD · NPI 1275752578
Surgical Oncology physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since April 25, 2007.
## Identity
- **NPI:** 1275752578 (Entity type: Individual)
- **Enumerated:** April 25, 2007
- **Primary specialty:** Surgery - Surgical Oncology · taxonomy 2086X0206X
- **State license:** 66205 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 9200 W WISCONSIN AVE, SURGICAL ONCOLOGY, Milwaukee, WI 53226-3522
- **Phone:** (414) 805-5020 · **Fax:** (414) 805-5771
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Medical College Of Wisconsin, Inc. (NPI 1699720086, Milwaukee, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Cincinnati College Of Medicine, class of 2006
## Record status
- **NPPES last updated:** December 12, 2016
- **Other identifiers:** Medicare PIN 287821YKQH (TX); Other 8DT082 (TX); Medicaid 320489301 (TX); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1275752578) · Data from the CMS NPPES public registry.