OSCAR G PADILLA MD
NPI 1326365206
Family Medicine in Stevens Point, WI

Active since April 30, 2010PECOS EnrolledAccepts Medicare Assignment
84.56/100
CMS Quality Rating
5409 VERN HOLMES DR, STEVENS POINT, WI 54482(715) 344-1600 Get Directions Write a Review

NPPES record last updated: July 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oscar G Padilla Md NPPES

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

OSCAR G PADILLA MD (NPI 1326365206) is an individual family medicine provider in Stevens Point, Wisconsin, licensed in Wisconsin (57066) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., and is a graduate of Other (2004).

NPPES Registry Identity

NPI1326365206
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameOSCAR G PADILLACredential: MD
Location Address5409 VERN HOLMES DRStevens Point, WI 54482-8853
Mailing Address5409 Vern Holmes DrStevens Point, WI 54482-8853 · (715) 344-1600
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 30, 2010
Last NPPES UpdateJuly 16, 2013
NPI 1326365206 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 · 57066
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.
5409 VERN HOLMES DR, Stevens Point, WI 54482

Other Identifiers 1

Medicaid1326365206WI

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

Oscar G Padilla 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 ID9133360019
PECOS Enrollment IDI20130719000346
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.

Hospital Affiliations CMS Care Compare 3

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

Aspirus Stevens Point Hospital & Clinics, Inc.

Acute Care Hospitals · Stevens Point, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520002
Location900 Illinois AveStevens Point, WI 54481 · Portage County
Emergency services Birthing friendly

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54482 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.

84.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.8
Promoting Interoperability100
Improvement Activities40
Cost58.73

Referred Medical Equipment & Supplies CMS DME claims 2

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
10 suppliers42 claims84 services$5.58 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers14 claims17 services$1.06 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.

Clinical Medical Laboratory
5409 VERN HOLMES DR
STEVENS POINT, WI 54482
Nurse Practitioner (Family)
5409 VERN HOLMES DR
STEVENS POINT, WI 54482
Nurse Practitioner (Family)
5409 VERN HOLMES DR
STEVENS POINT, WI 54482
Nurse Practitioner (Family)
5409 VERN HOLMES DR
STEVENS POINT, WI 54482
Family Medicine
5409 VERN HOLMES DR
STEVENS POINT, WI 54482
Family Medicine
5409 VERN HOLMES DR
STEVENS POINT, WI 54482
Family Medicine
5409 VERN HOLMES DR
STEVENS POINT, WI 54482
Non-Pharmacy Dispensing Site
5409 VERN HOLMES DR
STEVENS POINT, WI 54482

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 Oscar Padilla's NPI number?

The NPI number for Oscar Padilla is 1326365206. It was assigned to this individual provider in the NPPES registry on April 30, 2010.

Where is Oscar Padilla located?

Oscar Padilla practices at 5409 Vern Holmes Dr, Stevens Point, WI 54482. The listed phone number is (715) 344-1600.

What is Oscar Padilla's specialty?

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

Is Oscar Padilla enrolled in Medicare?

Yes. Oscar Padilla 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 Oscar Padilla accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Oscar Padilla 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 Oscar Padilla affiliated with any hospitals?

According to CMS data, Oscar Padilla is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., Aspirus Rhinelander Hospital and Aspirus Wausau Hospital.

When was this NPI record last updated?

The NPPES record for Oscar Padilla was last updated on July 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.