DIANE ELYSE PERKINS MD
NPI 1326393307
Pathology - Anatomic Pathology & Clinical Pathology in Manitowoc, WI

Active since July 17, 2012PECOS EnrolledAccepts Medicare Assignment
83.88/100
CMS Quality Rating
801 YORK ST, MANITOWOC, WI 54220(920) 683-5278(920) 686-9674 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2017, Jun 20, 2016 (2 updates tracked since 2016).

About Diane Elyse Perkins Md NPPES

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

DIANE ELYSE PERKINS MD (NPI 1326393307) is an individual anatomic pathology & clinical pathology provider in Manitowoc, Wisconsin, licensed in Michigan (4301100913) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2012).

NPPES Registry Identity

NPI1326393307
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameDIANE ELYSE PERKINSCredential: MD
Location Address801 YORK STManitowoc, WI 54220-4630
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Fax(920) 686-9674
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2012
Enumeration DateJuly 17, 2012
Last NPPES UpdateOctober 29, 20252 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
NPI 1326393307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses Licensed in MI · 4301100913 Licensed in WI · 3482
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 3482 (WI)
Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X · License 3482 (WI)
801 YORK ST, Manitowoc, WI 54220

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

Diane Elyse Perkins 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 ID3971871013
PECOS Enrollment IDI20240109004330
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 10

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
9,536 services6,041 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
721 services653 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
558 services325 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
307 services244 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
293 services272 patients
Antibody evaluation, each additional single antibody stain procedure 88350
An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.
200 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54220 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

83.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.28
Improvement Activities40
Cost67.44

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology & Clinical Pathology)
801 YORK ST
MANITOWOC, WI 54220
Pathology (Anatomic Pathology & Clinical Pathology)
801 YORK ST
MANITOWOC, WI 54220
Pathology (Anatomic Pathology & Clinical Pathology)
801 YORK ST
MANITOWOC, WI 54220
Dermatology (Dermatopathology)
801 YORK ST
MANITOWOC, WI 54220
Dermatology (Dermatopathology)
801 YORK ST
MANITOWOC, WI 54220
Pathology (Dermatopathology)
801 YORK ST
MANITOWOC, WI 54220
Dermatology
801 YORK ST
MANITOWOC, WI 54220
Dermatology (Dermatopathology)
801 YORK ST
MANITOWOC, WI 54220

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 Diane Perkins's NPI number?

The NPI number for Diane Perkins is 1326393307. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Where is Diane Perkins located?

Diane Perkins practices at 801 York St, Manitowoc, WI 54220. The listed phone number is (920) 683-5278.

What is Diane Perkins's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Diane Perkins enrolled in Medicare?

Yes. Diane Perkins 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 Diane Perkins accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter from Meridian and 4 other insurers list Diane Perkins 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.

When was this NPI record last updated?

The NPPES record for Diane Perkins was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.