MICHAEL J HARL MD
NPI 1396830030
Plastic Surgery in Marshfield, WI

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
82.79/100
CMS Quality Rating
1000 N OAK AVE, MARSHFIELD, WI 54449(715) 387-5511 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 5, 2021, Jun 14, 2018 (2 updates tracked since 2018).

About Michael J Harl Md NPPES

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

MICHAEL J HARL MD (NPI 1396830030) is an individual plastic surgery provider in Marshfield, Wisconsin, licensed in Wisconsin (38285) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and is a graduate of Indiana University School Of Medicine (1993).

NPPES Registry Identity

NPI1396830030
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameMICHAEL J HARLCredential: MD
Location Address1000 N OAK AVEMarshfield, WI 54449
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1993
Enumeration DateOctober 4, 2006
Last NPPES UpdateApril 5, 20212 updates tracked since enumeration
NPPES CertifiedApril 5, 2021
NPI 1396830030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in WI · 38285
Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

1000 N OAK AVE, Marshfield, WI 54449

Other Identifiers 3

OtherP00459642MI · Railroad Medicare
Other2405211091MI · Bcbs Of Michigan
Medicaid5212560MI

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

Michael J Harl 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 ID8123061470
PECOS Enrollment IDI20171205003476
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.

Management of oxygen chamber therapy 99183
Oxygen chamber therapy involves breathing pure oxygen in a pressurized room or tube. It's used to treat various conditions like wounds that won't heal due to diabetes or radiation injury. In this therapy, your body's tissues get more oxygen to promote healing and fight infection.
78 services15 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Marshfield Medical Center - Minocqua

Acute Care Hospitals · Minocqua, WI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520212
Location9576 Highway 70Minocqua, WI 54548 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54449 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.

82.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.98
Promoting Interoperability99
Improvement Activities40
Cost66.19

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.

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
1 supplier16 claims1,620 services$0.10 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.

Genetic Counselor, MS
1000 N OAK AVE, MARSHFIELD CLINIC; 3C1
MARSHFIELD, WI 54449
Genetic Counselor, MS
1000 N OAK AVE, 3C1
MARSHFIELD, WI 54449
Genetic Counselor, MS
1000 N OAK AVE, DEPT OF MEDICAL GENETICS - 3C1
MARSHFIELD, WI 54449
Internal Medicine (Nephrology)
1000 N OAK AVE
MARSHFIELD, WI 54449
Social Worker
1000 N OAK AVE
MARSHFIELD, WI 54449
Nuclear Medicine (Nuclear Imaging & Therapy)
1000 N OAK AVE
MARSHFIELD, WI 54449
Psychiatry & Neurology (Neurology)
1000 N OAK AVE
MARSHFIELD, WI 54449
Audiologist
1000 N OAK AVE
MARSHFIELD, WI 54449

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 Michael Harl's NPI number?

The NPI number for Michael Harl is 1396830030. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Michael Harl located?

Michael Harl practices at 1000 N Oak Ave, Marshfield, WI 54449. The listed phone number is (715) 387-5511.

What is Michael Harl's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Michael Harl enrolled in Medicare?

Yes. Michael Harl 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 Michael Harl accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Providence Health Plan and Sanford Health Plan and 1 other insurer list Michael Harl 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 Michael Harl affiliated with any hospitals?

According to CMS data, Michael Harl is affiliated with Marshfield Medical Center and Marshfield Medical Center - Minocqua.

When was this NPI record last updated?

The NPPES record for Michael Harl was last updated on April 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.