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DOUGLAS B. EVANS M.D.
NPI 1295820116
Surgery - Surgical Oncology in Milwaukee, WI

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
9200 W WISCONSIN AVENUE, SURGICAL ONCOLOGY, MILWAUKEE, WI 53226(414) 805-5020(414) 805-5771 Get Directions Write a Review

NPPES record last updated: November 22, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Douglas B. Evans M.d. NPPES

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

DOUGLAS B. EVANS M.D. (NPI 1295820116) is an individual surgical oncology provider in Milwaukee, Wisconsin, licensed in Wisconsin (52498) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of Boston University School Of Medicine (1983).

NPPES Registry Identity

NPI1295820116
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameDOUGLAS B. EVANSCredential: M.D.
Location Address9200 W WISCONSIN AVENUE, SURGICAL ONCOLOGYMilwaukee, WI 53226-3522
Mailing Address9200 W Wisconsin Avenue, Surgical OncologyMilwaukee, WI 53226-3522 · (414) 805-5020 · Fax (414) 805-5771
Phone(414) 805-5020
Fax(414) 805-5771
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1983
Enumeration DateOctober 4, 2006
Last NPPES UpdateNovember 22, 2019
✔ NPI 1295820116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
Licenses✔ Licensed in WI · 52498✔ Licensed in TX · H5546
Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

9200 W WISCONSIN AVENUE, Milwaukee, WI 53226
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Other Identifiers 2

Medicaid1295820116WI
Medicaid36457201TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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

Douglas B. Evans M.d. 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 ID9032274477
PECOS Enrollment IDI20090218000266
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 7

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.
185 services128 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.
28 services26 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.
24 services24 patients
Insertion of central venous tube with port (5 years or older) 36561
A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.
23 services23 patients
Fluoroscopic guidance for insertion or removal of central vein access device 77001
Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
23 services23 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.
21 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician 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.

New Patient
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
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.

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.

DR. MARK WALTER BOSBOUS
Plastic Surgery
9200 W WISCONSIN AVENUE, PLASTIC SURGERY
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3666
DR. BRIAN ROBERTSON-DICK MD
Physical Medicine & Rehabilitation
9200 W WISCONSIN AVENUE, PHYSICAL MEDICINE AND REHABILITATION
MILWAUKEE, WI 53226
Milwaukee County (414) 805-7342
SUPATRA A AGARWAL AA
Anesthesiologist Assistant
9200 W WISCONSIN AVENUE, DEPARTMENT OF ANESTHESIOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 805-8700
PROF. KONDRAGUNTA RAJENDRA PRASAD MD
Transplant Surgery
9200 W WISCONSIN AVENUE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6400
DR. PRERNA RAJ PANDYA M.D.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
9200 W WISCONSIN AVENUE, UROGYNECOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3666
SHERVIN MIRSHAHI M.D.
Radiology (Diagnostic Radiology)
9200 W WISCONSIN AVENUE, DEPARTMENT OF RADIOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 805-2060
JING QI MD
Radiology (Diagnostic Radiology)
9200 W WISCONSIN AVENUE, DEPARTMENT OF RADIOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 805-2060
MR. BRIAN G CARLSON MSN
Nurse Practitioner (Acute Care)
9200 W WISCONSIN AVENUE, DEPARTMENT OF RADIOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3750

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 Douglas Evans's NPI number?

The NPI number for Douglas Evans is 1295820116. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Douglas Evans located?

Douglas Evans practices at 9200 W Wisconsin Avenue Surgical Oncology, Milwaukee, WI 53226. The listed phone number is (414) 805-5020.

What is Douglas Evans's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Douglas Evans enrolled in Medicare?

Yes. Douglas Evans 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 Douglas Evans accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Douglas Evans 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 Douglas Evans affiliated with any hospitals?

According to CMS data, Douglas Evans is affiliated with Aurora St Lukes Medical Center and Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Evans was last updated on November 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.