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DANIEL C MEDINA MD
NPI 1376868281
Surgery in Wausau, WI

Active since April 02, 2010PECOS EnrolledAccepts Medicare Assignment
64.82/100
CMS Quality Rating
SURGICAL ASSOCIATES, SC, 2400 PINE RIDGE BLVD, WAUSAU, WI 54401(715) 847-2022(715) 843-1220 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2022, Sep 13, 2016, Nov 13, 2015 (3 updates tracked since 2015).

About Daniel C Medina Md NPPES

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

DANIEL C MEDINA MD (NPI 1376868281) is an individual surgery provider in Wausau, Wisconsin, licensed in Wisconsin (1924-320) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Guam Memorial Hospital Authority, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1376868281
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDANIEL C MEDINACredential: MD
Location AddressSURGICAL ASSOCIATES, SC, 2400 PINE RIDGE BLVDWausau, WI 54401
Mailing Address2400 Pine Ridge BlvdWausau, WI 54401 · (715) 847-2022 · Fax (715) 843-1220
Phone(715) 847-2022
Fax(715) 843-1220
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateApril 2, 2010
Last NPPES UpdateSeptember 23, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2022
✔ NPI 1376868281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in WI · 1924-320✔ Licensed in GU · M-1942✔ Licensed in PA · MD456117
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
SURGICAL ASSOCIATES, SC, Wausau, WI 54401
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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

Daniel C Medina 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 ID2961703129
PECOS Enrollment IDI20151214001454
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 6

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 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.
75 services62 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
39 services39 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
23 services23 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
19 services19 patients
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.
16 services13 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Guam Memorial Hospital Authority

Acute Care Hospitals · Tamuning, GU
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number650001
Location85O Gov Carlos G Camacho RoadTamuning, GU 96913 · Guam County
Emergency services

Guam Regional Medical City

Acute Care Hospitals · Dededo, GU
OwnershipVoluntary non-profit - Private
CMS Certification Number650003
Location133 Route 3Dededo, GU 96929 · Guam County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

64.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability0
Improvement Activities30
Cost78.59

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 Daniel Medina's NPI number?

The NPI number for Daniel Medina is 1376868281. It was assigned to this individual provider in the NPPES registry on April 2, 2010.

Where is Daniel Medina located?

Daniel Medina practices at Surgical Associates, Sc 2400 Pine Ridge Blvd, Wausau, WI 54401. The listed phone number is (715) 847-2022.

What is Daniel Medina's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Daniel Medina enrolled in Medicare?

Yes. Daniel Medina 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.

Is Daniel Medina affiliated with any hospitals?

According to CMS data, Daniel Medina is affiliated with Guam Memorial Hospital Authority and Guam Regional Medical City.

When was this NPI record last updated?

The NPPES record for Daniel Medina was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.