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SHAWN DOUGLAS ANTLE M.D.
NPI 1336163922
Hospitalist in Beloit, WI

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
75.66/100
CMS Quality Rating
BELOIT MEMORIAL HOSPITAL, 1969 W. HART ROAD, BELOIT, WI 53511(608) 363-5971(608) 363-5737 Get Directions Write a Review

NPPES record last updated: February 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shawn Douglas Antle M.d. NPPES

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

SHAWN DOUGLAS ANTLE M.D. (NPI 1336163922) is an individual hospitalist provider in Beloit, Wisconsin, licensed in Wisconsin (46666-20) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Beaver Dam (mmc-bd), and is a graduate of Other (1990).

NPPES Registry Identity

NPI1336163922
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSHAWN DOUGLAS ANTLECredential: M.D.
Location AddressBELOIT MEMORIAL HOSPITAL, 1969 W. HART ROADBeloit, WI 53511-2230
Mailing AddressBeloit Health System Inc., 1905 E. Huebbe ParkwayBeloit, WI 53511-1842 · (608) 364-2200 · Fax (608) 363-7395
Phone(608) 363-5971
Fax(608) 363-5737
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJuly 27, 2006
Last NPPES UpdateFebruary 28, 2018
✔ NPI 1336163922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WI · 46666-20
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 46666020 (WI)
BELOIT MEMORIAL HOSPITAL, Beloit, WI 53511
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Other Identifiers 2

Medicaid1336163922WI
Medicaid34513100WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Sanford Health Plan.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

Shawn Douglas Antle 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 ID840273819
PECOS Enrollment IDI20040610000913
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
136 services75 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
84 services82 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
58 services55 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
36 services32 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
33 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Marshfield Medical Center - Beaver Dam (mmc-Bd)

Acute Care Hospitals · Beaver Dam, WI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520076
Location707 S University AveBeaver Dam, WI 53916 · Dodge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 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.

75.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.27
Promoting Interoperability99
Improvement Activities40
Cost50.45

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers35 claims35 services$18.85 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers80 claims80 services$111.92 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers29 claims29 services$36.79 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 10

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

MARGARET M PEARSALL M.D.
Hospitalist
BELOIT MEMORIAL HOSPITAL, 1969 W. HART ROAD
BELOIT, WI 53511
Rock County (608) 363-5971
JENNIFER D. DOCHEE M.D.
Internal Medicine (Interventional Cardiology)
BELOIT MEMORIAL HOSPITAL, 1969 W. HART RD
BELOIT, WI 53511
Rock County (608) 364-5205
RUTH C. TAGGART NP
Nurse Practitioner
BELOIT MEMORIAL HOSPITAL, 1969 W. HART ROAD
BELOIT, WI 53511
Rock County (608) 363-5971
RUTH CHRISTIANSEN N.P.
Nurse Practitioner
BELOIT MEMORIAL HOSPITAL, 1969 W. HART ROAD
BELOIT, WI 53511
Rock County (608) 363-5971
DR. EMILY C DEMPSEY NP
Nurse Practitioner
BELOIT MEMORIAL HOSPITAL, 1969 W HART ROAD
BELOIT, WI 53511
Rock County (608) 364-5205
DR. OMER SHARIF M.D.
Hospitalist
BELOIT MEMORIAL HOSPITAL, 1969 W. HART ROAD
BELOIT, WI 53511
Rock County (608) 363-5971
CHARLES L LAHAM MD
Internal Medicine (Cardiovascular Disease)
BELOIT MEMORIAL HOSPITAL, 1969 WEST HART RD
BELOIT, WI 53511
Rock County (608) 364-5011
DR. HEATHER B. BREEN M.D.
Hospitalist
BELOIT MEMORIAL HOSPITAL, 1969 W. HART ROAD
BELOIT, WI 53511
Rock County (608) 363-5971

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 Shawn Antle's NPI number?

The NPI number for Shawn Antle is 1336163922. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Shawn Antle located?

Shawn Antle practices at Beloit Memorial Hospital 1969 W. Hart Road, Beloit, WI 53511. The listed phone number is (608) 363-5971.

What is Shawn Antle's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Shawn Antle enrolled in Medicare?

Yes. Shawn Antle 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 Shawn Antle accept?

Health plans from Anthem Blue Cross and Blue Shield and Sanford Health Plan list Shawn Antle 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 Shawn Antle affiliated with any hospitals?

According to CMS data, Shawn Antle is affiliated with Marshfield Medical Center - Beaver Dam (mmc-Bd).

When was this NPI record last updated?

The NPPES record for Shawn Antle was last updated on February 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.