MICHAEL A NETZEL MD
NPI 1366541369
Allergy & Immunology in Monroe, WI

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
515 22ND AVE, MONROE, WI 53566(608) 324-2000 Get Directions Write a Review

NPPES record last updated: December 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael A Netzel Md NPPES

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

MICHAEL A NETZEL MD (NPI 1366541369) is an individual allergy & immunology provider in Monroe, Wisconsin, licensed in Wisconsin (36513) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with The Monroe Clinic, and is a graduate of Creighton University School Of Medicine (1987).

NPPES Registry Identity

NPI1366541369
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameMICHAEL A NETZELCredential: MD
Location Address515 22ND AVEMonroe, WI 53566-1569
Mailing Address515 22nd AveMonroe, WI 53566-1569 · (608) 324-2000
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1987
Enumeration DateSeptember 22, 2006
Last NPPES UpdateDecember 23, 2020
NPPES CertifiedDecember 23, 2020
NPI 1366541369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License Licensed in WI · 36513
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 36513 (WI)
515 22ND AVE, Monroe, WI 53566

Other Identifiers 18

Medicaid32118200WI
Other520863353Tricare
Other11017Medicaid Dean
Other11017Dean Health Plan
Other32118200Hirsp
Other390808509Cigna
Other520863353Illinois Public Aid
Other520863353006Bc/bs
Other690004890Medicare Railroad
Other1002514Physicians Plus
Other390808509Ct General
Other39080850994Unity
Other390808509Wps
Other3500226Medicare Part B
Other520863353006Compcare
Other90002361Wea Ins
Other30002816Medicare Railroad
Other520863353006Bc/bs Medicare Supplement

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

Michael A Netzel 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 ID1658565932
PECOS Enrollment IDI20101101000143
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 14

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.
548 services393 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
101 services101 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
100 services98 patients
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.
84 services23 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
82 services77 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
78 services73 patients

Hospital Affiliations CMS Care Compare

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

The Monroe Clinic

Acute Care Hospitals · Monroe, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520028
Location515 22nd AveMonroe, WI 53566 · Green County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 28

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
22 suppliers289 claims289 services$38.93 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims1,100 services$0.10 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
6 suppliers22 claims45 services$1.46 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
27 suppliers279 claims279 services$95.99 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
27 suppliers261 claims731 services$36.50 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
16 suppliers85 claims457 services$20.70 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.

Pharmacist (Pharmacotherapy)
515 22ND AVE
MONROE, WI 53566
Nurse Practitioner (Family)
515 22ND AVE
MONROE, WI 53566
Emergency Medicine
515 22ND AVE
MONROE, WI 53566
Pharmacist
515 22ND AVE
MONROE, WI 53566
Family Medicine
515 22ND AVE
MONROE, WI 53566
Nurse Practitioner
515 22ND AVE
MONROE, WI 53566
Internal Medicine (Cardiovascular Disease)
515 22ND AVE
MONROE, WI 53566
Physician Assistant
515 22ND AVE, MONROE CLINIC
MONROE, WI 53566

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 Michael Netzel's NPI number?

The NPI number for Michael Netzel is 1366541369. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Michael Netzel located?

Michael Netzel practices at 515 22nd Ave, Monroe, WI 53566. The listed phone number is (608) 324-2000.

What is Michael Netzel's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Michael Netzel enrolled in Medicare?

Yes. Michael Netzel 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 Michael Netzel accept?

Health plans from Quartz list Michael Netzel 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 Michael Netzel affiliated with any hospitals?

According to CMS data, Michael Netzel is affiliated with The Monroe Clinic.

When was this NPI record last updated?

The NPPES record for Michael Netzel was last updated on December 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.