VANCE T HARTKE MD
NPI 1295260453
Internal Medicine - Gastroenterology in Wausau, WI

Active since April 25, 2017PECOS EnrolledAccepts Medicare Assignment
81.06/100
CMS Quality Rating
411 WESTWOOD DR, WAUSAU, WI 54401(715) 847-2558(715) 261-6452 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2023, Apr 25, 2017 (2 updates tracked since 2017).

About Vance T Hartke Md NPPES

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

VANCE T HARTKE MD (NPI 1295260453) is an individual gastroenterology provider in Wausau, Wisconsin, licensed in Wisconsin (81782-20) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Aspirus Ironwood Hospital, and is a graduate of University Of Pittsburgh School Of Medicine (2017).

NPPES Registry Identity

NPI1295260453
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameVANCE T HARTKECredential: MD
Location Address411 WESTWOOD DRWausau, WI 54401-4152
Mailing Address3600 Forbes Ave, Forbes Tower Plaza Suite 140Pittsburgh, PA 15213-3410
Fax(715) 261-6452
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2017
Enumeration DateApril 25, 2017
Last NPPES UpdateJuly 11, 20232 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
NPI 1295260453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in WI · 81782-20
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

411 WESTWOOD DR, Wausau, WI 54401

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

Vance T Hartke 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 ID6709155674
PECOS Enrollment IDI20230724001897
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 12

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
112 services110 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
75 services74 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
65 services65 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
57 services55 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.
51 services47 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Aspirus Ironwood Hospital

Critical Access Hospitals · Ironwood, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number231333
LocationN10561 Grand View LaneIronwood, MI 49938 · Gogebic County
Emergency services Birthing friendly

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Howard Young Medical Center

Acute Care Hospitals · Woodruff, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520091
Location240 Maple StWoodruff, WI 54568 · Vilas County
Emergency services

Aspirus Eagle River Hospital

Critical Access Hospitals · Eagle River, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521300
Location201 Hospital RoadEagle River, WI 54521 · Vilas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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
$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.

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.

81.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.09
Promoting Interoperability99
Improvement Activities40
Cost49.62

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.

Internal Medicine (Gastroenterology)
411 WESTWOOD DR
WAUSAU, WI 54401
Nurse Anesthetist, Certified Registered
411 WESTWOOD DR
WAUSAU, WI 54401
Nurse Anesthetist, Certified Registered
411 WESTWOOD DR
WAUSAU, WI 54401
Internal Medicine (Gastroenterology)
411 WESTWOOD DR
WAUSAU, WI 54401
Internal Medicine (Gastroenterology)
411 WESTWOOD DR
WAUSAU, WI 54401
Internal Medicine (Gastroenterology)
411 WESTWOOD DR
WAUSAU, WI 54401
Physician Assistant
411 WESTWOOD DR
WAUSAU, WI 54401
Nurse Anesthetist, Certified Registered
411 WESTWOOD DR
WAUSAU, WI 54401

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 Vance Hartke's NPI number?

The NPI number for Vance Hartke is 1295260453. It was assigned to this individual provider in the NPPES registry on April 25, 2017.

Where is Vance Hartke located?

Vance Hartke practices at 411 Westwood Dr, Wausau, WI 54401. The listed phone number is (715) 847-2558.

What is Vance Hartke's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Vance Hartke enrolled in Medicare?

Yes. Vance Hartke 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 Vance Hartke accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Vance Hartke 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 Vance Hartke affiliated with any hospitals?

According to CMS data, Vance Hartke is affiliated with Aspirus Ironwood Hospital, Aspirus Rhinelander Hospital, Aspirus Wausau Hospital, Howard Young Medical Center and Aspirus Eagle River Hospital.

When was this NPI record last updated?

The NPPES record for Vance Hartke was last updated on July 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.