DR. TERESA ANN STUDER MD
NPI 1366949026
Family Medicine in Sparta, WI

Active since April 10, 2018PECOS EnrolledAccepts Medicare Assignment
310 W MAIN ST, SPARTA, WI 54656(608) 269-1770(608) 392-4168 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 21, 2025, Dec 31, 2024, May 19, 2021 and 4 more (7 updates tracked since 2018).

About Dr. Teresa Ann Studer Md NPPES

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

DR. TERESA ANN STUDER MD (NPI 1366949026) is an individual family medicine provider in Sparta, Wisconsin, licensed in Wisconsin (72017) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Spencer Municipal Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1366949026
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TERESA ANN STUDERCredential: MD
Location Address310 W MAIN STSparta, WI 54656-2170
Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (715) 838-5222
Fax(608) 392-4168
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 10, 2018
Last NPPES UpdateFebruary 21, 20257 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2025
NPI 1366949026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 72017
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
310 W MAIN ST, Sparta, WI 54656

Other Names 1

Former Name (1)Teresa Mallett

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

Dr. Teresa Ann Studer 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 ID5193074417
PECOS Enrollment IDI20250509000626
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 3

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
32 services24 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
16 services14 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Spencer Municipal Hospital

Acute Care Hospitals · Spencer, IA
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160112
Location1200 1st Avenue EastSpencer, IA 51301 · Clay County
Emergency services Birthing friendly

Lakes Regional Healthcare

Acute Care Hospitals · Spirit Lake, IA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160124
Location2301 Highway 71Spirit Lake, IA 51360 · Dickinson County
Emergency services Birthing friendly

Palo Alto County Hospital

Critical Access Hospitals · Emmetsburg, IA
OwnershipGovernment - Local
CMS Certification Number161357
Location3201 1st StreetEmmetsburg, IA 50536 · Palo Alto County
Emergency services

Mayo Clinic Health System-Franciscan Medical Center Inc

Acute Care Hospitals · La Crosse, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520004
Location700 West Avenue SouthLa Crosse, WI 54601 · La Crosse County
Emergency services Birthing friendly

Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta

Critical Access Hospitals · Sparta, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521305
Location310 W Main StSparta, WI 54656 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54656 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
$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

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$54.97 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
310 W MAIN ST
SPARTA, WI 54656
Occupational Therapist
310 W MAIN ST
SPARTA, WI 54656
Family Medicine
310 W MAIN ST
SPARTA, WI 54656
Medicare Defined Swing Bed Unit
310 W MAIN ST
SPARTA, WI 54656
Clinic/Center (Rural Health)
310 W MAIN ST
SPARTA, WI 54656
Nurse Practitioner
310 W MAIN ST
SPARTA, WI 54656
Surgery
310 W MAIN ST
SPARTA, WI 54656
Occupational Therapist
310 W MAIN ST
SPARTA, WI 54656

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 Teresa Studer's NPI number?

The NPI number for Teresa Studer is 1366949026. It was assigned to this individual provider in the NPPES registry on April 10, 2018. The provider is also known as Teresa Mallett.

Where is Teresa Studer located?

Teresa Studer practices at 310 W Main St, Sparta, WI 54656. The listed phone number is (608) 269-1770.

What is Teresa Studer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Teresa Studer enrolled in Medicare?

Yes. Teresa Studer 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 Teresa Studer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 3 other insurers list Teresa Studer 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 Teresa Studer affiliated with any hospitals?

According to CMS data, Teresa Studer is affiliated with Spencer Municipal Hospital, Lakes Regional Healthcare, Palo Alto County Hospital, Mayo Clinic Health System-Franciscan Medical Center Inc and Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta.

When was this NPI record last updated?

The NPPES record for Teresa Studer was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.