PAUL D VOLKERT MD
NPI 1437143435
Internal Medicine - Cardiovascular Disease in Janesville, WI

Active since September 06, 2005PECOS EnrolledAccepts Medicare Assignment
1000 MINERAL POINT AVE, JANESVILLE, WI 53548(608) 875-6686(608) 756-6289 Get Directions Write a Review

NPPES record last updated: November 14, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul D Volkert Md NPPES

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

PAUL D VOLKERT MD (NPI 1437143435) is an individual cardiovascular disease provider in Janesville, Wisconsin, licensed in Wisconsin (29945) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Fort Memorial Hospital, and is a graduate of Medical College Of Wisconsin (1987).

NPPES Registry Identity

NPI1437143435
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NamePAUL D VOLKERTCredential: MD
Location Address1000 MINERAL POINT AVEJanesville, WI 53548-2940
Mailing Address1000 Mineral Point AveJanesville, WI 53548-2940 · (608) 875-6686 · Fax (608) 756-6289
Fax(608) 756-6289
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1987
Enumeration DateSeptember 6, 2005
Last NPPES UpdateNovember 14, 2011
NPI 1437143435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in WI · 29945
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1000 MINERAL POINT AVE, Janesville, WI 53548

Other Identifiers 3

Medicare PIN541760440WI
Medicare UPINE56839
OtherVOLKEPAUWI · 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

Paul D Volkert 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 ID7618861899
PECOS Enrollment IDI20040210000018
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 11

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
203 services194 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
185 services150 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
169 services112 patients
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.
92 services75 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
33 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520071
Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Watertown Memorial Hospital

Acute Care Hospitals · Watertown, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520116
Location125 Hospital DriveWatertown, WI 53098 · Dodge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53548 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 20

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

Nurse Practitioner (Psychiatric/Mental Health)
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Plastic Surgery
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Physical Therapist
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Pharmacist
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Occupational Therapist
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Neurological Surgery
1000 MINERAL POINT AVE, MERCY WEST NEUROSURGERY
JANESVILLE, WI 53548
Emergency Medicine (Medical Toxicology)
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Physician Assistant
1000 MINERAL POINT AVE
JANESVILLE, WI 53548

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 Paul Volkert's NPI number?

The NPI number for Paul Volkert is 1437143435. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Where is Paul Volkert located?

Paul Volkert practices at 1000 Mineral Point Ave, Janesville, WI 53548. The listed phone number is (608) 875-6686.

What is Paul Volkert's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Paul Volkert enrolled in Medicare?

Yes. Paul Volkert 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 Paul Volkert accept?

Health plans from CareSource (Common Ground Healthcare), Group Health Cooperative-SCW, MercyCare Health Plans, Quartz and Security Health Plan list Paul Volkert 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 Paul Volkert affiliated with any hospitals?

According to CMS data, Paul Volkert is affiliated with Fort Memorial Hospital, University Of Wi Hospitals & Clinics Authority and Watertown Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Paul Volkert was last updated on November 14, 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.