SUSAN H KRECKMAN MD
NPI 1376527002
Family Medicine in Portage, WI

Q: What is Susan Kreckman's NPI number?

The NPI number for Susan Kreckman is 1376527002. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Q: What is Susan Kreckman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan Kreckman was last updated on October 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since December 06, 2005PECOS EnrolledAccepts Medicare Assignment

86.87/100

CMS Quality Rating

2817 NEW PINERY RD., DIVINE SAVIOR HEALTHCARE, INC., PORTAGE, WI 53901(608) 745-4598(608) 745-6242 Get Directions Write a Review

NPPES record last updated: October 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Susan H Kreckman Md NPPES

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

SUSAN H KRECKMAN MD (NPI 1376527002) is an individual family medicine provider in Portage, Wisconsin, licensed in Wisconsin (39356) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Divine Savior Healthcare, and is a graduate of Wayne State University School Of Medicine (1994).

NPPES Registry Identity

NPI1376527002

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSUSAN H KRECKMANCredential: MD

Location Address2817 NEW PINERY RD., DIVINE SAVIOR HEALTHCARE, INC.Portage, WI 53901-0387

Mailing Address2817 New Pinery Rd., Divine Savior Healthcare, Inc.Portage, WI 53901-0387 · (608) 745-4598 · Fax (608) 745-6242

Phone(608) 745-4598

Fax(608) 745-6242

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 1994

Enumeration DateDecember 6, 2005

Last NPPES UpdateOctober 14, 2011

✔ NPI 1376527002 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 · 39356

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.

2817 NEW PINERY RD., Portage, WI 53901

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Other Identifiers 3

Medicare UPING57537

Medicaid32379600WI

Medicare ID-Type Unspecified131350007WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.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

Susan H Kreckman 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 ID3678467701

PECOS Enrollment IDI20040608001258

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.

Hospital Affiliations CMS Care Compare 2

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

Divine Savior Healthcare

Acute Care Hospitals · Portage, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520041

Location2817 New Pinery RoadPortage, WI 53901 · Columbia County

Emergency services

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number520098

Location600 Highland AvenueMadison, WI 53792 · Dane County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53901 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.

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.

86.87/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

89.05

Promoting Interoperability

100

Improvement Activities

Cost

63.39

Referred Medical Equipment & Supplies CMS DME claims 10

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers39 claims96 services$5.90 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

7 suppliers13 claims78 services$1.88 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers11 claims11 services$62.00 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers16 claims16 services$17.24 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers12 claims12 services$12.06 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers16 claims16 services$32.96 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNETH K OH MD

Physical Medicine & Rehabilitation

2817 NEW PINERY RD., DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI 53901

Columbia County (608) 742-4131

CHARLES L BOURSIER MD

Emergency Medicine

2817 NEW PINERY RD., DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI 53901

Columbia County (608) 742-4131

JAMES J FOSKETT MD

Orthopaedic Surgery

2817 NEW PINERY RD., DIVINE SAVIOR HEATHCARE, INC.
PORTAGE, WI 53901

Columbia County (608) 745-5176

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 Susan Kreckman's NPI number?

The NPI number for Susan Kreckman is 1376527002. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Susan Kreckman located?

Susan Kreckman practices at 2817 New Pinery Rd. Divine Savior Healthcare, Inc., Portage, WI 53901. The listed phone number is (608) 745-4598.

What is Susan Kreckman's specialty?

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

Is Susan Kreckman enrolled in Medicare?

Yes. Susan Kreckman 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 Susan Kreckman accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Susan Kreckman 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 Susan Kreckman affiliated with any hospitals?

According to CMS data, Susan Kreckman is affiliated with Divine Savior Healthcare and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Susan Kreckman was last updated on October 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.