MICHAEL ANDREW WARD M.D.
NPI 1316279433
Emergency Medicine in Waupaca, WI
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
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
23Medicare enrollment records show Michael Ward reassigns Medicare billing to 23 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waupaca, WI 54981
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1013995521 (Wisconsin)
- 110 clinicians in this Medicare group
Iola, WI 54945
- Reassigned Medicare billing, Wisconsin enrollment
- 935 clinicians in this Medicare group
Wild Rose, WI 54984
- Reassigned Medicare billing, Wisconsin enrollment
- 28 clinicians in this Medicare group
New London, WI 54961
- Reassigned Medicare billing, Wisconsin enrollment
- 56 clinicians in this Medicare group
Wautoma, WI 54982
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1760413777 (Wisconsin)
- 55 clinicians in this Medicare group
Plover, WI 54467
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1952890873 (Wisconsin)
- 2,476 clinicians in this Medicare group
Stevens Point, WI 54481
- Reassigned Medicare billing, Wisconsin enrollment
- 619 clinicians in this Medicare group
Appleton, WI 54911
- Reassigned Medicare billing, Wisconsin enrollment
- 35 clinicians in this Medicare group
Shawano, WI 54166
- Reassigned Medicare billing, Wisconsin enrollment
- 70 clinicians in this Medicare group
Birnamwood, WI 54414
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1639187412 (Wisconsin)
- 321 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, WIThedacare Regional Med Ctr - Neenah
Acute Care Hospitals · Neenah, WISt. Agnes Hospital Hospice
Acute Care Hospitals · Fond Du Lac, WIThedacare Regional Medical Center - Appleton Inc
Acute Care Hospitals · Appleton, WIThedacare Medical Center-Waupaca
Critical Access Hospitals · Waupaca, WIPhysician 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.
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.
WAUPACA, WI 54981
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.
Which organizations bill Medicare for Michael Ward's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Ward reassigns Medicare benefits to 23 organizations: Thedacare Medical Center - Waupaca, Inc. (Waupaca, WI), Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Iola, WI), Thedacare Medical Center - Wild Rose, Inc (Wild Rose, WI), Thedacare Medical Center - New London, Inc. (New London, WI), Thedacare Medical Center - Berlin, Inc. (Wautoma, WI) and 18 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Ward's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Ward accept?
Health plans from 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, Thedacare Regional Med Ctr - Neenah, St. Agnes Hospital Hospice, Thedacare Regional Medical Center - Appleton Inc 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Michael Andrew Ward, M.D. · NPI 1316279433
Emergency Medicine physician in Waupaca, Wisconsin. Individual provider, active in the CMS NPPES registry since February 1, 2010.
## Identity
- **NPI:** 1316279433 (Entity type: Individual)
- **Enumerated:** February 1, 2010
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 67252 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 RIVERSIDE DR, Waupaca, WI 54981-1943
- **Phone:** (715) 258-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 23 organizations under Medicare reassignment (form CMS-855R): Thedacare Medical Center - Waupaca, Inc. (NPI 1780782680, Waupaca, WI); Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (NPI 1578232849, Iola, WI); Thedacare Medical Center - Wild Rose, Inc (NPI 1043263999, Wild Rose, WI); Thedacare Medical Center - New London, Inc. (NPI 1538127220, New London, WI); Thedacare Medical Center - Berlin, Inc. (NPI 1992159289, Wautoma, WI); and 18 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Wisconsin School Of Medicine, class of 2009
## Record status
- **NPPES last updated:** September 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1316279433) · Data from the CMS NPPES public registry.