HERBERT S COUSSONS MD
NPI 1427007624
Obstetrics & Gynecology in Green Bay, WI

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
1088 SPRINGHURST DR, GREEN BAY, WI 54304(920) 888-2828 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 19, 2026, Sep 4, 2025, May 19, 2022 and 2 more (5 updates tracked since 2017).

About Herbert S Coussons Md NPPES

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

HERBERT S COUSSONS MD (NPI 1427007624) is an individual obstetrics & gynecology provider in Green Bay, Wisconsin, licensed in Wisconsin (43795-020) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1427007624
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameHERBERT S COUSSONSCredential: MD
Location Address1088 SPRINGHURST DRGreen Bay, WI 54304-5495
Mailing Address1088 Springhurst DrGreen Bay, WI 54304-5495 · (920) 888-2828 · Fax (888) 876-4773
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1992
Enumeration DateMay 8, 2006
Last NPPES UpdateFebruary 16, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2026
✔ NPI 1427007624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in WI · 43795-020✔ Licensed in ID · M-7022
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1088 SPRINGHURST DR, Green Bay, WI 54304

Secondary Practice Locations 2

Location 14424 E Flamingo Ave Ste 200Meridian, ID 83687-9300 · Phone (208) 302-1400 · Fax (208) 302-1455
Location 21000 N Oak AveMarshfield, WI 54449-5703 · Phone (715) 387-5511

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Herbert S Coussons 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 ID4284699117
PECOS Enrollment IDI20101027000327, I20250918004237
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.

Medicare Billing Reassignments

15

Medicare enrollment records show Herbert Coussons reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
1088 SPRINGHURST DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
General Acute Care Hospital
1506 S ONEIDA ST
Appleton, WI 54915
  • Reassigned Medicare billing, Wisconsin enrollment
  • 194 clinicians in this Medicare group
Multi-Specialty
2300 WESTERN AVE
Manitowoc, WI 54220
  • Reassigned Medicare billing, Wisconsin enrollment
  • 350 clinicians in this Medicare group
Clinic/Center
1660 SUEALAN DRIVE
Wittenberg, WI 54499
  • Reassigned Medicare billing, Wisconsin enrollment
  • 415 clinicians in this Medicare group
Clinic/Center
1660 SUE ALAN DR
Wittenberg, WI 54499
  • Reassigned Medicare billing, Wisconsin enrollment
  • 633 clinicians in this Medicare group
Family Medicine
180 GATEWAY DR
Waupun, WI 53963
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,447 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
2450 VINEYARD DR
Plover, WI 54467
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
Rehabilitation
500 ROOSEVELT RD
Niagara, WI 54151
  • Reassigned Medicare billing, Michigan enrollment
  • 136 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
Allergy & Immunology
1211 FISH HATCHERY RD
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,377 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54304 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
$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.

Other Providers at the Same Location NPPES

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

Obstetrics & Gynecology
1088 SPRINGHURST DR
GREEN BAY, WI 54304

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 Herbert Coussons's NPI number?

The NPI number for Herbert Coussons is 1427007624. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Herbert Coussons located?

Herbert Coussons practices at 1088 Springhurst Dr, Green Bay, WI 54304. The listed phone number is (920) 888-2828.

What is Herbert Coussons's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Herbert Coussons enrolled in Medicare?

Yes. Herbert Coussons 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.

Which organizations bill Medicare for Herbert Coussons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Herbert Coussons reassigns Medicare benefits to 15 organizations: Advanced Care For Women, Sc (Green Bay, WI), Ascension NE Wisconsin, Inc (Appleton, WI), Froedtert Manitowoc Medical Group, LLC (Manitowoc, WI), Aspirus Medical Group, Inc. (Wittenberg, WI), Aspirus Wausau Hospital Inc (Wittenberg, WI) and 10 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Herbert Coussons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Herbert Coussons accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 1 other insurer list Herbert Coussons 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 Herbert Coussons affiliated with any hospitals?

According to CMS data, Herbert Coussons is affiliated with Bellin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Herbert Coussons was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.