DR. JOHN E DAHLIN MD
NPI 1427194828
Nuclear Medicine in Marshfield, WI
Quality Rating: 83.37 out of 100 score
NPI Status: Active since January 30, 2007
Contact Information
1000 N OAK AVE
MARSHFIELD, WI
ZIP 54449
Phone: (715) 387-5511
- NPI Profile Information
- Primary Taxonomy
- Secondary Taxonomies
- Insurance Plans Accepted
- Medicare Participation & PECOS Status
- Areas of Expertise
- Physician Visit Costs
- Overall Quality Performance
- Hospital Affiliations - Privileges
- NPI Validation
- Other Providers Same Location
- Frequently Asked Questions
- Individual
- Male
- Years of Experience 26
- Nuclear Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About JOHN DAHLIN
This page provides the complete NPI Profile along with additional information for John Dahlin, a provider established in Marshfield, Wisconsin with a medical specialization in Nuclear Medicine and more than 26 years of experience. The healthcare provider is registered in the NPI registry with number 1427194828 assigned on January 2007. The practitioner's primary taxonomy code is 207U00000X with license number 45152 (WI). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1427194828
- Provider Name
- DR. JOHN E DAHLIN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1000 N OAK AVE MARSHFIELD, WI 54449
- Location Phone
- (715) 387-5511
- Mailing Address
- 1000 N OAK AVE MARSHFIELD, WI 54449
- Mailing Phone
- (715) 387-5511
- Medical School Name
- OTHER
- Graduation Year
- 2000
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-30-2007
- Last Update Date
- 07-26-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nuclear Medicine
- Taxonomy Code
- 207U00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 45152
- License State
- WI
- Taxonomy Description
- A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207U00000X | Allopathic & Osteopathic Physicians | Nuclear Medicine | 2007-00034 (NC) |
| 2 | 207U00000X | Allopathic & Osteopathic Physicians | Nuclear Medicine | 7359 (SD) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3205211281 | OTHER (01) | MI | BCBS OF MICHIGAN |
Medicare Participation & PECOS Enrollment Status
John Dahlin is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
John Dahlin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7517053010
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20150220002215
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Dxa bone density measurement of forearm, finger, hand, or foot
Dxa bone density measurement of forearm, finger, hand, or foot
Dxa bone density measurement of hip, pelvis, spine
Dxa bone density measurement of hip, pelvis, spine
Nuclear medicine studies of heart muscle at rest and with stress and spect
Nuclear medicine studies of heart muscle at rest and with stress and spect
Nuclear medicine study from skull base to mid-thigh with ct scan
Nuclear medicine study of bone and/or joint whole body
Nuclear medicine study of brain with metabolic evaluation
Nuclear medicine study of liver and bile duct system
Nuclear medicine study of lung ventilation and circulation
Nuclear medicine study of stomach to assess emptying
Nuclear medicine study whole body with ct scan
Nuclear medicine study, 1 area with spect and concurrent ct scan
A DXA bone density measurement of the forearm, finger, hand, or foot is a non-invasive procedure that uses X-rays to measure the amount of calcium and other minerals in your bones. This test helps to assess the strength of your bones and your risk of fractures.
This service was performed 13 times for 13 patientsA DXA bone density measurement of the forearm, finger, hand, or foot is a non-invasive procedure that uses X-rays to measure the amount of calcium and other minerals in your bones. This test helps to assess the strength of your bones and your risk of fractures.
This service was performed 17 times for 16 patientsA DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
This service was performed 982 times for 982 patientsA DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
This service was performed 1,187 times for 989 patientsNuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
This service was performed 139 times for 138 patientsNuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
This service was performed 48 times for 47 patientsA nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
This service was performed 374 times for 332 patientsA nuclear medicine study of bone and/or joint whole body involves injecting a small amount of radioactive material into your body. This material travels to your bones and emits energy. A special camera captures this energy, creating images of your bones to help identify any abnormalities.
This service was performed 55 times for 42 patientsA nuclear medicine study of the brain with metabolic evaluation involves using a safe radioactive substance and special imaging to assess brain function. It helps identify changes in brain metabolism that can indicate certain disorders.
This service was performed 28 times for 28 patientsA nuclear medicine study of the liver and bile duct system involves the use of a small amount of radioactive material to create detailed images. This helps doctors examine the liver's function and structure, and detect any abnormalities in the bile ducts.
This service was performed 14 times for 13 patientsA nuclear medicine lung ventilation and circulation study uses a safe radioactive material to create images of air and blood flow in your lungs. It helps identify issues like blood clots or lung diseases. You inhale or receive an injection of this material, and a special camera captures the images.
This service was performed 22 times for 22 patientsA nuclear medicine study of the stomach assesses how quickly food leaves the stomach. A safe, radioactive substance is added to a meal. The radiation emitted is tracked, creating images that show the food's progress through the stomach. It's non-invasive and painless.
This service was performed 21 times for 21 patientsA Nuclear Medicine Study with a CT Scan is a diagnostic procedure. It uses a small amount of radioactive substance and a CT scan to create detailed images of your body. These images help doctors diagnose, monitor, and treat various conditions.
This service was performed 116 times for 106 patientsA nuclear medicine study with SPECT and concurrent CT scan is a special imaging test. It uses a small amount of radioactive substance and advanced imaging techniques to create detailed pictures of your internal body structures. It aids in diagnosing and tracking the progress of treatment for various diseases.
This service was performed 28 times for 28 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $30.92 for a new patient copayment and $23.85 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 54449 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $123.69
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $30.92
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.41
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $23.85
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 83.37, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 83.37 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 82.77
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 67.75
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 67.75
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. John Dahlin is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| MARSHFIELD MEDICAL CENTER - RICE LAKE | 1700 WEST STOUT STREET RICE LAKE, WI 54868 | (715) 234-1515 | Acute Care Hospitals | |
| MARSHFIELD MEDICAL CENTER | 611 ST JOSEPH AVE MARSHFIELD, WI 54449 | (715) 387-1713 | Acute Care Hospitals | |
| MARSHFIELD MEDICAL CENTER - EAU CLAIRE | 2310 CRAIG RD EAU CLAIRE, WI 54701 | (715) 858-8100 | Acute Care Hospitals | |
| MARSHFIELD MEDICAL CENTER - MINOCQUA | 9576 HIGHWAY 70 MINOCQUA, WI 54548 | (715) 358-1710 | Acute Care Hospitals | |
| MARSHFIELD MEDICAL CENTER - LADYSMITH | 1200 PORT ARTHUR RD LADYSMITH, WI 54848 | (715) 532-5561 | Critical Access Hospitals |
Reviews for DR. JOHN E DAHLIN MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 1 | 9 | 4 | 8 | 2 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 2 | 9 | 8 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 2 + 9 + 8 + 8 + 4 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1427194828 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
KRISTEN JEAN RASMUSSEN M.S.
Genetic Counselor, MS
1000 N OAK AVE
MARSHFIELD CLINIC; 3C1
MARSHFIELD, WI
ZIP 54449
CHRISTINA ANN ZALESKI M.S.
Genetic Counselor, MS
1000 N OAK AVE
3C1
MARSHFIELD, WI
ZIP 54449
CARRIE A ZABEL M.S.
Genetic Counselor, MS
1000 N OAK AVE
DEPT OF MEDICAL GENETICS - 3C1
MARSHFIELD, WI
ZIP 54449
LEA K LUA MD
Pediatrics
(Pediatric Critical Care Medicine)
1000 N OAK AVE
MARSHFIELD, WI
ZIP 54449
NARAYANA S MURALI MD
Internal Medicine
(Nephrology)
1000 N OAK AVE
MARSHFIELD, WI
ZIP 54449
KATHLEEN A CYPHER MSSW
Social Worker
1000 N OAK AVE
MARSHFIELD, WI
ZIP 54449
BOYD EARL VOMOCIL M.D.
Nuclear Medicine
(Nuclear Imaging & Therapy)
1000 N OAK AVE
MARSHFIELD, WI
ZIP 54449
L REBECCA CAMPBELL MD
Psychiatry & Neurology
(Neurology)
1000 N OAK AVE
MARSHFIELD, WI
ZIP 54449
JULIE A BERGER MS CCCA
Audiologist
1000 N OAK AVE
MARSHFIELD, WI
ZIP 54449
DONNA PROHAZKA MD
Radiology
(Diagnostic Radiology)
1000 N OAK AVE
MARSHFIELD, WI
ZIP 54449
ANNE R. MATTSON MS CCC-SLP
Speech-Language Pathologist
1000 N OAK AVE
MARSHFIELD, WI
ZIP 54449
DOUGLAS J WOOD MS CCCA
Audiologist
1000 N OAK AVE
MARSHFIELD, WI
ZIP 54449
HAROLD WERTH PA
Physician Assistant
1000 N OAK AVE
MARSHFIELD, WI
ZIP 54449
ROBERT RENNELLS PA
Physician Assistant
1000 N OAK AVE
MARSHFIELD, WI
ZIP 54449
JAMES A HOLZBERGER MD
Ophthalmology
1000 N OAK AVE
MARSHFIELD, WI
ZIP 54449
RICHARD B PATCHETT MD
Ophthalmology
1000 N OAK AVE
MARSHFIELD, WI
ZIP 54449
ELLEN M GORDON MD
Dermatology
1000 N OAK AVE
MARSHFIELD, WI
ZIP 54449
STELLA FRUNZA PATTEN MD
Dermatology
1000 N OAK AVE
MARSHFIELD, WI
ZIP 54449
DENNIS R ANDERSON MD
Ophthalmology
1000 N OAK AVE
MARSHFIELD, WI
ZIP 54449
KATHARINE HOBART ODELL PHD, CCC-SLP
Speech-Language Pathologist
1000 N OAK AVE
MARSHFIELD, WI
ZIP 54449
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427194828, enumerated as an "individual" on January 30, 2007.
The provider is located at 1000 N OAK AVE MARSHFIELD, WI 54449 and the phone number is (715) 387-5511.
Nuclear Medicine with taxonomy code 207U00000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medica, Molina. Please consult your insurance carrier or call the provider to verify.
John Dahlin is affiliated with: MARSHFIELD MEDICAL CENTER - RICE LAKE, MARSHFIELD MEDICAL CENTER, MARSHFIELD MEDICAL CENTER - EAU CLAIRE, MARSHFIELD MEDICAL CENTER - MINOCQUA and MARSHFIELD MEDICAL CENTER - LADYSMITH.
