DR. BRIAN G SAPP MD
NPI 1336189588
Pediatrics in Pleasant Prairie, WI

Q: What is Brian Sapp's NPI number?

The NPI number for Brian Sapp is 1336189588. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Q: What is Brian Sapp's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Sapp was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since June 07, 2006PECOS Enrolled

12500 AURORA DR, PLEASANT PRAIRIE, WI 53158(262) 857-5000(262) 857-5001 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 10, 2025, Feb 1, 2023, Nov 18, 2021 and 2 more (5 updates tracked since 2019).

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About Dr. Brian G Sapp Md NPPES

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

DR. BRIAN G SAPP MD (NPI 1336189588) is an individual pediatrics provider in Pleasant Prairie, Wisconsin, licensed in Wisconsin (71073) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336189588

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. BRIAN G SAPPCredential: MD

Location Address12500 AURORA DRPleasant Prairie, WI 53158-1227

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(262) 857-5000

Fax(262) 857-5001

Sole ProprietorNo

Enumeration DateJune 7, 2006

Last NPPES UpdateJune 10, 20255 updates tracked since enumeration

NPPES CertifiedJune 10, 2025

✔ NPI 1336189588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in WI · 71073✔ Licensed in IL · 036-098944

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

12500 AURORA DR, Pleasant Prairie, WI 53158

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Secondary Practice Locations 2

Location 11790 Nations Dr, Suite 207Gurnee, IL 60031-9164 · Phone (847) 693-7020 · Fax (877) 488-2779

Location 210400 75th StKenosha, WI 53142-7884 · Phone (262) 948-6710 · Fax (262) 948-6780

Other Identifiers 1

Medicaid100088681WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brian G Sapp Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Brian Sapp reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Amg Illinois Ltd

12 mi

Internal Medicine

45 TOWER CT, SUITE C
Gurnee, IL 60031

Reassigned Medicare billing, Wisconsin enrollment
42 clinicians in this Medicare group

NPI 1972741759 (847) 623-3200

Aurora Medical Group, Inc.

32 mi

Family Medicine

3301 W FOREST HOME AVE
Milwaukee, WI 53215

Reassigned Medicare billing, Wisconsin enrollment
4,609 clinicians in this Medicare group

NPI 1427271378 (877) 576-3544

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53158 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.

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.

MYA REESE DC

Chiropractor