SHARATH KOMMU MD
NPI 1366753931
Hospitalist in Rice Lake, WI

Active since June 29, 2010PECOS EnrolledAccepts Medicare Assignment
82.36/100
CMS Quality Rating
1700 W STOUT ST, RICE LAKE, WI 54868(715) 236-8100 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, Mar 30, 2021 (2 updates tracked since 2021).

About Sharath Kommu Md NPPES

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

SHARATH KOMMU MD (NPI 1366753931) is an individual hospitalist provider in Rice Lake, Wisconsin, licensed in Wisconsin (60588) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and maintains a secondary practice location in Marshfield.

NPPES Registry Identity

NPI1366753931
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSHARATH KOMMUCredential: MD
Location Address1700 W STOUT STRice Lake, WI 54868-5000
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 29, 2010
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
NPI 1366753931 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 · 60588
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 MedicineTaxonomy 207R00000X · License 125058853 (IL)
1700 W STOUT ST, Rice Lake, WI 54868

Secondary Practice Location 1

Location 1Marshfield Clinic, 1000 N Oak AvenueMarshfield, WI 54449 · Phone (715) 387-5511

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

Sharath Kommu 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 ID7012158694
PECOS Enrollment IDI20130724000344
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 5

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 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.
190 services92 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.
106 services101 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.
78 services72 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
20 services13 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.
17 services12 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

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54868 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.

82.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.38
Promoting Interoperability100
Improvement Activities40
Cost50.29

Referred Medical Equipment & Supplies CMS DME claims

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$774.05 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.

Otolaryngology
1700 W STOUT ST
RICE LAKE, WI 54868
Physician Assistant
1700 W STOUT ST
RICE LAKE, WI 54868
Family Medicine
1700 W STOUT ST
RICE LAKE, WI 54868
Obstetrics & Gynecology
1700 W STOUT ST
RICE LAKE, WI 54868
Occupational Therapist
1700 W STOUT ST
RICE LAKE, WI 54868
Nurse Practitioner (Family)
1700 W STOUT ST
RICE LAKE, WI 54868
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1700 W STOUT ST
RICE LAKE, WI 54868
Emergency Medicine
1700 W STOUT ST
RICE LAKE, WI 54868

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 Sharath Kommu's NPI number?

The NPI number for Sharath Kommu is 1366753931. It was assigned to this individual provider in the NPPES registry on June 29, 2010.

Where is Sharath Kommu located?

Sharath Kommu practices at 1700 W Stout St, Rice Lake, WI 54868. The listed phone number is (715) 236-8100.

What is Sharath Kommu's specialty?

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

Is Sharath Kommu enrolled in Medicare?

Yes. Sharath Kommu 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 Sharath Kommu accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and Sanford Health Plan list Sharath Kommu 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 Sharath Kommu affiliated with any hospitals?

According to CMS data, Sharath Kommu is affiliated with Marshfield Medical Center.

When was this NPI record last updated?

The NPPES record for Sharath Kommu was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.