COLBY J SEEGMILLER DO
NPI 1336558832
Surgery in Neenah, WI

Active since August 08, 2014PECOS EnrolledAccepts Medicare Assignment
100 THEDA CLARK MEDICAL PLZ STE 400, NEENAH, WI 54956(920) 725-4527(920) 725-4527 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Colby J Seegmiller Do NPPES

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

COLBY J SEEGMILLER DO (NPI 1336558832) is an individual surgery provider in Neenah, Wisconsin, licensed in Wisconsin (67830-21) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1336558832
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameCOLBY J SEEGMILLERCredential: DO
Location Address100 THEDA CLARK MEDICAL PLZ STE 400Neenah, WI 54956-2763
Mailing Address100 Theda Clark Medical Plz Ste 400Neenah, WI 54956-2763 · (920) 725-4527
Fax(920) 725-4527
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 8, 2014
Last NPPES UpdateDecember 27, 2021
NPPES CertifiedDecember 27, 2021
NPI 1336558832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in WI · 67830-21
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
100 THEDA CLARK MEDICAL PLZ STE 400, Neenah, WI 54956

Other Identifiers 1

Medicaid1336558832WI

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

Colby J Seegmiller Do 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 ID5597057984
PECOS Enrollment IDI20211006001034
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 7

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 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.
26 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
23 services20 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
22 services20 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
22 services22 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.
21 services20 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Thedacare Medical Center - New London

Critical Access Hospitals · New London, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521326
Location1405 Mill StNew London, WI 54961 · Waupaca County
Emergency services

Thedacare Medical Center-Waupaca

Critical Access Hospitals · Waupaca, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521334
Location800 Riverside DriveWaupaca, WI 54981 · Waupaca County
Emergency services Birthing friendly

Berlin Memorial Hospital

Critical Access Hospitals · Berlin, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521355
Location225 Memorial DriveBerlin, WI 54923 · Green Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54956 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.

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.

Nurse Practitioner (Family)
100 THEDA CLARK MEDICAL PLZ STE 400
NEENAH, WI 54956
Nurse Practitioner
100 THEDA CLARK MEDICAL PLZ STE 400
NEENAH, WI 54956
Nurse Practitioner (Family)
100 THEDA CLARK MEDICAL PLZ STE 400
NEENAH, WI 54956
Physician Assistant (Medical)
100 THEDA CLARK MEDICAL PLZ STE 400
NEENAH, WI 54956
Surgery
100 THEDA CLARK MEDICAL PLZ STE 400
NEENAH, WI 54956
Surgery
100 THEDA CLARK MEDICAL PLZ STE 400
NEENAH, WI 54956
Surgery
100 THEDA CLARK MEDICAL PLZ STE 400
NEENAH, WI 54956
Nurse Practitioner
100 THEDA CLARK MEDICAL PLZ STE 400
NEENAH, WI 54956

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 Colby Seegmiller's NPI number?

The NPI number for Colby Seegmiller is 1336558832. It was assigned to this individual provider in the NPPES registry on August 8, 2014.

Where is Colby Seegmiller located?

Colby Seegmiller practices at 100 Theda Clark Medical Plz Ste 400, Neenah, WI 54956. The listed phone number is (920) 725-4527.

What is Colby Seegmiller's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Colby Seegmiller enrolled in Medicare?

Yes. Colby Seegmiller 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 Colby Seegmiller accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Colby Seegmiller 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 Colby Seegmiller affiliated with any hospitals?

According to CMS data, Colby Seegmiller is affiliated with Thedacare Regional Med Ctr - Neenah, Thedacare Regional Medical Center - Appleton Inc, Thedacare Medical Center - New London, Thedacare Medical Center-Waupaca and Berlin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Colby Seegmiller was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.