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STACEY J SPERLINGAS MD
NPI 1295790822
Family Medicine in Tomah, WI

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
82.79/100
CMS Quality Rating
325 BUTTS AVE, TOMAH, WI 54660(608) 392-5000 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2024, Apr 10, 2024, Nov 17, 2022 (3 updates tracked since 2022).

About Stacey J Sperlingas Md NPPES

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

STACEY J SPERLINGAS MD (NPI 1295790822) is an individual family medicine provider in Tomah, Wisconsin, licensed in Wisconsin (49648) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System-franciscan Medical Center Inc, and maintains a secondary practice location in Chippewa Falls.

NPPES Registry Identity

NPI1295790822
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSTACEY J SPERLINGASCredential: MD
Location Address325 BUTTS AVETomah, WI 54660-1412
Mailing Address200 1st St SwRochester, MN 55905-0001 · (608) 785-0940
Phone(608) 392-5000
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2005
Enumeration DateApril 18, 2006
Last NPPES UpdateJune 5, 20243 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1295790822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 49648
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
325 BUTTS AVE, Tomah, WI 54660
Open in Google Maps ↗

Secondary Practice Location 1

Location 112961 27th AveChippewa Falls, WI 54729-5699 · Phone (715) 738-3700

Other Identifiers 2

Other49648WI · License
Medicaid34749200WI

Accepted Insurance

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

Stacey J Sperlingas 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 ID1052313343
PECOS Enrollment IDI20070215000736
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 9

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 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.
293 services249 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.
105 services97 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
31 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
29 services14 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
24 services12 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Mayo Clinic Health System-Franciscan Medical Center Inc

Acute Care Hospitals · La Crosse, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520004
Location700 West Avenue SouthLa Crosse, WI 54601 · La Crosse County
Emergency services Birthing friendly

Mayo Clinic Health System Eau Claire Hospital

Acute Care Hospitals · Eau Claire, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520070
Location1221 Whipple StEau Claire, WI 54703 · Eau Claire County
Emergency services Birthing friendly

Gundersen Lutheran Medical Center

Acute Care Hospitals · La Crosse, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520087
Location1910 South AveLa Crosse, WI 54601 · La Crosse County
Emergency services Birthing friendly

Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta

Critical Access Hospitals · Sparta, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521305
Location310 W Main StSparta, WI 54656 · Monroe County
Emergency services

Tomah Memorial Hospital

Critical Access Hospitals · Tomah, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521320
Location501 Gopher DrTomah, WI 54660 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54660 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.

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.

82.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.98
Promoting Interoperability99
Improvement Activities40
Cost66.19

Referred Medical Equipment & Supplies CMS DME claims 5

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
7 suppliers19 claims73 services$5.91 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims22 services$1.13 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
2 suppliers16 claims25 services$12.10 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
1 supplier14 claims14 services$91.27 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$33.32 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.

JULIE ELIZABETH GOODHUE OTR
Occupational Therapist
325 BUTTS AVE
TOMAH, WI 54660
Monroe County (608) 785-0940
MRS. KATHRYN J REEDICH P.T.
Physical Therapist
325 BUTTS AVE
TOMAH, WI 54660
Monroe County (608) 372-5951
SHAREL A MARTIN MD
Emergency Medicine
325 BUTTS AVE
TOMAH, WI 54660
Monroe County (608) 372-5951
LISA C CLARK
Social Worker (Clinical)
325 BUTTS AVE
TOMAH, WI 54660
Monroe County (608) 372-5951
ANDREW LAST MD
Family Medicine
325 BUTTS AVE
TOMAH, WI 54660
Monroe County (608) 372-5999
JANE E WEISS PA
Physician Assistant (Medical)
325 BUTTS AVE
TOMAH, WI 54660
Monroe County (608) 372-5951
MEGAN R GRYGLESKI PA-C
Physician Assistant
325 BUTTS AVE
TOMAH, WI 54660
Monroe County (608) 372-5951
ABBEY ALICE ROSE CNM
Advanced Practice Midwife
325 BUTTS AVE
TOMAH, WI 54660
Monroe County (608) 372-5999

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 Stacey Sperlingas's NPI number?

The NPI number for Stacey Sperlingas is 1295790822. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Stacey Sperlingas located?

Stacey Sperlingas practices at 325 Butts Ave, Tomah, WI 54660. The listed phone number is (608) 392-5000.

What is Stacey Sperlingas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stacey Sperlingas enrolled in Medicare?

Yes. Stacey Sperlingas 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 Stacey Sperlingas accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Sanford Health Plan and Security Health Plan list Stacey Sperlingas 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 Stacey Sperlingas affiliated with any hospitals?

According to CMS data, Stacey Sperlingas is affiliated with Mayo Clinic Health System-Franciscan Medical Center Inc, Mayo Clinic Health System Eau Claire Hospital, Gundersen Lutheran Medical Center, Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta and Tomah Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Stacey Sperlingas was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.