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ALISSA ZEGLIN
NPI 1366948309
Internal Medicine in Wauwatosa, WI

Active since March 30, 2018PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
1155 N MAYFAIR RD, WAUWATOSA, WI 53226(414) 955-5990 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alissa Zeglin NPPES

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

ALISSA ZEGLIN (NPI 1366948309) is an individual internal medicine provider in Wauwatosa, Wisconsin, licensed in Ohio (35.145346) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1366948309
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameALISSA ZEGLIN
Location Address1155 N MAYFAIR RDWauwatosa, WI 53226-3462
Mailing Address1155 N Mayfair RdWauwatosa, WI 53226-3462 · (414) 955-5990
Phone(414) 955-5990
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 30, 2018
Last NPPES UpdateSeptember 22, 2023
NPPES CertifiedSeptember 22, 2023
✔ NPI 1366948309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.145346
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 35.145346 (OH)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1155 N MAYFAIR RD, Wauwatosa, WI 53226
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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

Alissa Zeglin 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 ID1658623970
PECOS Enrollment IDI20231010001530
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 2

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.
30 services21 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 services21 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

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.

KEVIN BOZYMSKI PHARMD, BCPS
Pharmacist (Psychiatric)
1155 N MAYFAIR RD
MILWAUKEE, WI 53226
Milwaukee County (414) 955-8950
STEVEN BONDOW MD
Family Medicine
1155 N MAYFAIR RD, PLANK ROAD CLINIC
MILWAUKEE, WI 53226
Milwaukee County (414) 955-5990
MR. STEVEN C. MAJSTORAVICH PTA
Physical Therapy Assistant
1155 N MAYFAIR RD
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3666
DR. SABINA DIEHR MD
Family Medicine
1155 N MAYFAIR RD, PLANK ROAD CLINIC
MILWAUKEE, WI 53226
Milwaukee County (414) 955-5990
DR. CHRISTOPHER E WOLFLA MD
Neurological Surgery
1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROAD
MILWAUKEE, WI 53226
Milwaukee County (414) 805-9255
DR. PHILIP A NELSON MD
Physical Medicine & Rehabilitation
1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROAD
MILWAUKEE, WI 53226
Milwaukee County (414) 456-7199
DR. MICHAEL DIMARCO JR. PSY.D.
Psychologist (Clinical)
1155 N MAYFAIR RD, THIRD FLOOR
MILWAUKEE, WI 53226
Milwaukee County (414) 955-8900
MR. JOSEPH S. GOVEAS M.D.
Psychiatry & Neurology (Psychiatry)
1155 N MAYFAIR RD, DEPARTMENT OF PSYCHIATRY
MILWAUKEE, WI 53226
Milwaukee County (414) 955-8900

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 Alissa Zeglin's NPI number?

The NPI number for Alissa Zeglin is 1366948309. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Where is Alissa Zeglin located?

Alissa Zeglin practices at 1155 N Mayfair Rd, Wauwatosa, WI 53226. The listed phone number is (414) 955-5990.

What is Alissa Zeglin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Alissa Zeglin enrolled in Medicare?

Yes. Alissa Zeglin 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 Alissa Zeglin accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Alissa Zeglin 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 Alissa Zeglin affiliated with any hospitals?

According to CMS data, Alissa Zeglin is affiliated with Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Alissa Zeglin was last updated on September 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.