MICHAEL ANDREW WARD M.D.
NPI 1316279433
Emergency Medicine in Waupaca, WI

Active since February 01, 2010PECOS EnrolledAccepts Medicare Assignment
800 RIVERSIDE DR, WAUPACA, WI 54981(715) 258-1000 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 12, 2025, May 8, 2025, Dec 15, 2021 and 4 more (7 updates tracked since 2017).

About Michael Andrew Ward M.d. NPPES

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

MICHAEL ANDREW WARD M.D. (NPI 1316279433) is an individual emergency medicine provider in Waupaca, Wisconsin, licensed in Wisconsin (67252) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316279433
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL ANDREW WARDCredential: M.D.
Location Address800 RIVERSIDE DRWaupaca, WI 54981-1943
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (715) 258-1000
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2009
Enumeration DateFebruary 1, 2010
Last NPPES UpdateSeptember 12, 20257 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
NPI 1316279433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in WI · 67252 Licensed in IL · 125-056225 Licensed in WI · 97252-20 Licensed in IL · 036130513
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

800 RIVERSIDE DR, Waupaca, WI 54981

Secondary Practice Locations 2

Location 11000 N Oak AveMarshfield, WI 54449-5703 · Phone (715) 387-5511
Location 2430 E Division StFond Du Lac, WI 54935-4560 · Phone (920) 926-4600

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

Michael Andrew Ward 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 ID5294901526
PECOS Enrollment IDI20170706000889
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
51 services50 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
35 services34 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
29 services29 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
29 services29 patients

Hospital Affiliations CMS Care Compare 5

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

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

St. Agnes Hospital Hospice

Acute Care Hospitals · Fond Du Lac, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520088
Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Thedacare Medical Center - New London

Critical Access Hospitals · New London, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521326
Location1405 Mill StNew London, WI 54961 · Waupaca County
Emergency services

Thedacare Medical Center-Waupaca

Critical Access Hospitals · Waupaca, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521334
Location800 Riverside DriveWaupaca, WI 54981 · Waupaca County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54981 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.

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.

General Acute Care Hospital (Critical Access)
800 RIVERSIDE DR
WAUPACA, WI 54981
Physical Therapist
800 RIVERSIDE DR
WAUPACA, WI 54981
Occupational Therapist
800 RIVERSIDE DR
WAUPACA, WI 54981
Physician Assistant
800 RIVERSIDE DR
WAUPACA, WI 54981
General Acute Care Hospital (Critical Access)
800 RIVERSIDE DR
WAUPACA, WI 54981
Emergency Medicine
800 RIVERSIDE DR
WAUPACA, WI 54981
Physician Assistant
800 RIVERSIDE DR
WAUPACA, WI 54981
Hospitalist
800 RIVERSIDE DR
WAUPACA, WI 54981

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 Ward's NPI number?

The NPI number for Michael Ward is 1316279433. It was assigned to this individual provider in the NPPES registry on February 1, 2010.

Where is Michael Ward located?

Michael Ward practices at 800 Riverside Dr, Waupaca, WI 54981. The listed phone number is (715) 258-1000.

What is Michael Ward's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Ward enrolled in Medicare?

Yes. Michael Ward 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 Ward accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Group Health Cooperative-SCW list Michael Ward 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 Ward affiliated with any hospitals?

According to CMS data, Michael Ward is affiliated with Marshfield Medical Center, St. Agnes Hospital Hospice, Thedacare Regional Medical Center - Appleton Inc, Thedacare Medical Center - New London and Thedacare Medical Center-Waupaca.

When was this NPI record last updated?

The NPPES record for Michael Ward was last updated on September 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.