DOUGLAS R PALMER MD
NPI 1427095694
Orthopaedic Surgery in Janesville, WI

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
3524 E MILWAUKEE ST, JANESVILLE, WI 53546(608) 756-7100 Get Directions Write a Review

NPPES record last updated: September 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas R Palmer Md NPPES

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

DOUGLAS R PALMER MD (NPI 1427095694) is an individual orthopaedic surgery provider in Janesville, Wisconsin, licensed in Wisconsin (27483-020) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Health System Corp, and is a graduate of Medical College Of Wisconsin (1981).

NPPES Registry Identity

NPI1427095694
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDOUGLAS R PALMERCredential: MD
Location Address3524 E MILWAUKEE STJanesville, WI 53546-1626
Mailing Address3524 E Milwaukee StJanesville, WI 53546-1626 · (608) 756-7100
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1981
Enumeration DateMay 31, 2006
Last NPPES UpdateSeptember 29, 2011
NPI 1427095694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in WI · 27483-020
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
3524 E MILWAUKEE ST, Janesville, WI 53546

Other Identifiers 12

Medicare PIN000127048WI
Medicare PIN000027048WI
Medicaid30748700WI
Medicare PIN000113280WI
Medicare UPINB55574
OtherP00801177CD3624WI · Rr Medicare
Other39171561401WI · Unity
Other0900029WI · Physicians Plus Insurance
Medicare PIN541760646WI
Medicare PIN200029519WI
Other980WI · Dean Health Insurance
OtherPALMEDOUWI · Mercycare Insurance

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

Douglas R Palmer 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 ID2567569544
PECOS Enrollment IDI20070529000043
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 12

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.
121 services98 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.
72 services72 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
60 services38 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
35 services23 patients
Incision of tendon covering of finger 26055
This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.
29 services25 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
29 services18 patients

Hospital Affiliations CMS Care Compare

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

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53546 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.

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.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier17 claims19 services$33.27 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.

Physician Assistant
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Family Medicine
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Orthopaedic Surgery (Hand Surgery)
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Physical Therapist
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Physical Therapist
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Dietitian, Registered
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Internal Medicine
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Emergency Medicine
3524 E MILWAUKEE ST
JANESVILLE, WI 53546

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 Douglas Palmer's NPI number?

The NPI number for Douglas Palmer is 1427095694. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Douglas Palmer located?

Douglas Palmer practices at 3524 E Milwaukee St, Janesville, WI 53546. The listed phone number is (608) 756-7100.

What is Douglas Palmer's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Douglas Palmer enrolled in Medicare?

Yes. Douglas Palmer 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 Douglas Palmer accept?

Health plans from Anthem Blue Cross and Blue Shield and MercyCare Health Plans list Douglas Palmer 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 Douglas Palmer affiliated with any hospitals?

According to CMS data, Douglas Palmer is affiliated with Mercy Health System Corp.

When was this NPI record last updated?

The NPPES record for Douglas Palmer was last updated on September 29, 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.