BRIAN R RAGUSE PA
NPI 1316959083
Physician Assistant in Green Bay, WI

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment
82.77/100
CMS Quality Rating
1160 KEPLER DR, GREEN BAY, WI 54311(920) 288-5555(920) 288-5550 Get Directions Write a Review

NPPES record last updated: September 30, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brian R Raguse Pa NPPES

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

BRIAN R RAGUSE PA (NPI 1316959083) is an individual physician assistant in Green Bay, Wisconsin, licensed in Wisconsin (1663) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Holy Family Memorial, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1316959083
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRIAN R RAGUSECredential: PA
Location Address1160 KEPLER DRGreen Bay, WI 54311
Mailing Address116 Kepler Dr, Po Box 8970Green Bay, WI 54308-8970 · (920) 288-5555 · Fax (920) 288-5550
Fax(920) 288-5550
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 12, 2006
Last NPPES UpdateSeptember 30, 2008
NPI 1316959083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 1663
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1160 KEPLER DR, Green Bay, WI 54311

Other Identifiers 4

Medicare UPINQ01308
Medicaid41980900WI
Medicare PIN005171460WI
Medicare ID-Type Unspecified018707650

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

Brian R Raguse Pa 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 ID244139533
PECOS Enrollment IDI20040106000394
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 11

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
112 services64 patients
Destruction of peripheral nerve or branch 64640
Destruction of a peripheral nerve or branch is a procedure to treat nerve-related pain. It involves using heat, cold, or chemicals to damage or destroy the nerve, thereby blocking pain signals to the brain. This can provide long-term pain relief.
104 services33 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
98 services78 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
66 services51 patients
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323
Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.
52 services14 patients
Injection, methylprednisolone acetate, 80 mg J1040
Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.
51 services35 patients

Hospital Affiliations CMS Care Compare

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

Holy Family Memorial

Acute Care Hospitals · Manitowoc, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520107
Location2300 Western AveManitowoc, WI 54221 · Manitowoc County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 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
$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.

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.

82.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.36
Promoting Interoperability100
Improvement Activities40
Cost57.23

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.

Physical Therapist
1160 KEPLER DR
GREEN BAY, WI 54311
Physical Therapist
1160 KEPLER DR
GREEN BAY, WI 54311
Rehabilitation Hospital
1160 KEPLER DR
GREEN BAY, WI 54311
Specialist/Technologist (Athletic Trainer)
1160 KEPLER DR
GREEN BAY, WI 54311
Specialist/Technologist (Athletic Trainer)
1160 KEPLER DR
GREEN BAY, WI 54311
Specialist/Technologist (Athletic Trainer)
1160 KEPLER DR
GREEN BAY, WI 54311
Dietitian, Registered
1160 KEPLER DR
GREEN BAY, WI 54311
Physical Therapist
1160 KEPLER DR
GREEN BAY, WI 54311

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316959083, enumerated as an "individual" on August 12, 2006.

The provider is located at 1160 KEPLER DR GREEN BAY, WI 54311 and the phone number is (920) 288-5555.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, HealthPartners,. Please consult your insurance carrier or call the provider to verify.

Brian Raguse is affiliated with: HOLY FAMILY MEMORIAL.