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MICHAEL DEROSE LCSW
NPI 1295101574
Social Worker - Clinical in Mount Pleasant, WI

Active since August 20, 2015PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
3805B SPRING ST, SUITE 320, MOUNT PLEASANT, WI 53405(262) 687-2222(262) 687-8611 Get Directions Write a Review

NPPES record last updated: February 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Derose Lcsw NPPES

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

MICHAEL DEROSE LCSW (NPI 1295101574) is an individual clinical provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (8319) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1295101574
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMICHAEL DEROSECredential: LCSW
Location Address3805B SPRING ST, SUITE 320Mount Pleasant, WI 53405-1641
Mailing Address3805b Spring St Ste 320Mount Pleasant, WI 53405-1644
Phone(262) 687-2222
Fax(262) 687-8611
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 20, 2015
Last NPPES UpdateFebruary 11, 2019
✔ NPI 1295101574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 8319
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3805B SPRING ST, Mount Pleasant, WI 53405
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Accepted Insurance

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

Michael Derose Lcsw 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 ID4789990458
PECOS Enrollment IDI20150826002424
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.

Hospital Affiliations CMS Care Compare

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

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53405 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
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

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.

BRUCE A LUCCAS, MD, LLC
Family Medicine
3805B SPRING ST, STE 130
RACINE, WI 53405
Racine County (262) 631-8750
INDER PAUL SINGH
Ophthalmology
3805B SPRING ST, SUITE 140
RACINE, WI 53405
Racine County (262) 637-8835
AHMED SIDDIG MUHAMMED AHMED MD
Psychiatry & Neurology (Neurology)
3805B SPRING ST, STE 320
RACINE, WI 53405
Racine County (262) 687-8322
DRS DECHECK AND MATACZYNSKI MD SC
Family Medicine
3805B SPRING ST, SUITE250
MOUNT PLEASANT, WI 53405
Racine County (262) 634-6679
JAMES SCARPACI MSW LCSW CADC III
Social Worker (Clinical)
3805B SPRING ST, SUITE 20
MOUNT PLEASANT, WI 53405
Racine County (262) 687-2222
DR. JAMES DEAN MATACZYNSKI MD
Family Medicine
3805B SPRING ST, SUITE 250
MOUNT PLEASANT, WI 53405
Racine County (262) 634-6679
STEPHEN V. MAWN M.D.
Preventive Medicine (Occupational Medicine)
3805B SPRING ST, SUITE 260
RACINE, WI 53405
Racine County (262) 687-6150
STEPHEN J PRUETT
Optometrist
3805B SPRING ST, SUITE 140
RACINE, WI 53405
Racine County (262) 637-8835

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 Michael Derose's NPI number?

The NPI number for Michael Derose is 1295101574. It was assigned to this individual provider in the NPPES registry on August 20, 2015.

Where is Michael Derose located?

Michael Derose practices at 3805B Spring St Suite 320, Mount Pleasant, WI 53405. The listed phone number is (262) 687-2222.

What is Michael Derose's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Michael Derose enrolled in Medicare?

Yes. Michael Derose 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 Michael Derose accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and Network Health list Michael Derose 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 Michael Derose affiliated with any hospitals?

According to CMS data, Michael Derose is affiliated with Ascension All Saints Hospital.

When was this NPI record last updated?

The NPPES record for Michael Derose was last updated on February 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.