1. Home
  2. Directory
  3. Wisconsin
  4. Mequon
  5. Internal Medicine
  6. NPI Profile

DOUGLAS E PUFFER M.D.
NPI 1366463267
Internal Medicine - Hematology & Oncology in Mequon, WI

Active since July 23, 2006PECOS EnrolledAccepts Medicare Assignment
13111 N PORT WASHINGTON RD, MEQUON, WI 53097(262) 243-7454(262) 243-7482 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas E Puffer M.d. NPPES

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

DOUGLAS E PUFFER M.D. (NPI 1366463267) is an individual hematology & oncology provider in Mequon, Wisconsin, licensed in Wisconsin (40365-020) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Ohio State University College Of Medicine (1997).

NPPES Registry Identity

NPI1366463267
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDOUGLAS E PUFFERCredential: M.D.
Location Address13111 N PORT WASHINGTON RDMequon, WI 53097-2416
Mailing Address4425 N Port Washington Road, Csmcp Clinic CredentialingGlendale, WI 53212-1082 · (414) 326-2378 · Fax (414) 326-2155
Phone(262) 243-7454
Fax(262) 243-7482
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1997
Enumeration DateJuly 23, 2006
Last NPPES UpdateOctober 22, 2012
✔ NPI 1366463267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in WI · 40365-020
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
13111 N PORT WASHINGTON RD, Mequon, WI 53097
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINH94107
Medicare PIN541760736WI
OtherPUFFEDOUWI · Mercycare Insurance
Medicaid34425400WI

Accepted Insurance

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

Douglas E Puffer 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 ID143323840
PECOS Enrollment IDI20070319000336
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 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
350 services120 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.
228 services135 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
44 services22 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
39 services32 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
34 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53097 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
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.

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.

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers11 claims11 services$19.01 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers11 claims11 services$12.69 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.

VICTORIA JANE LEPOLD
Student in an Organized Health Care Education/Training Program
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7300
CARDIOGRAPHICS PHYSICIANS ST. MARY'S OZAUKEE
Internal Medicine (Cardiovascular Disease)
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7300
MRS. KIM ANN GLASER MS CCC-SLP
Speech-Language Pathologist
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-5757
LAURA ALAR R.PH.
Pharmacist
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7342
EDWIN BACALSO
Social Worker (Clinical)
13111 N PORT WASHINGTON RD
THIENSVILLE, WI 53097
Ozaukee County (262) 243-6127
JANET SUSAN INGOLD PTA
Physical Therapy Assistant
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7444
MRS. ELIZABETH SHEPLER CRNA
Nurse Anesthetist, Certified Registered
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7408
INFINITY HEALTHCARE PHYSICIANS, S.C.
Emergency Medicine
13111 N PORT WASHINGTON RD, COLUMBIA ST. MARY'S - OZAUKEE CAMPUS
MEQUON, WI 53097
Ozaukee County (414) 290-6718

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 Douglas Puffer's NPI number?

The NPI number for Douglas Puffer is 1366463267. It was assigned to this individual provider in the NPPES registry on July 23, 2006.

Where is Douglas Puffer located?

Douglas Puffer practices at 13111 N Port Washington Rd, Mequon, WI 53097. The listed phone number is (262) 243-7454.

What is Douglas Puffer's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Douglas Puffer enrolled in Medicare?

Yes. Douglas Puffer 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 Douglas Puffer accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Douglas Puffer 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 Douglas Puffer affiliated with any hospitals?

According to CMS data, Douglas Puffer is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension SE Wisconsin Hospital, Froedtert Memorial Lutheran Hospital and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Douglas Puffer was last updated on October 22, 2012. 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.