DR. TIMOTHY S STAACKE M.D.
NPI 1457335523
Pain Medicine - Interventional Pain Medicine in Kenosha, WI

Q: What is Timothy Staacke's NPI number?

The NPI number for Timothy Staacke is 1457335523. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Q: What is Timothy Staacke's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Staacke was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 02, 2005PECOS EnrolledAccepts Medicare Assignment

10400 75TH ST, KENOSHA, WI 53142(262) 697-7000 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 11, 2022, Nov 24, 2021 (2 updates tracked since 2021).

On this page

About Dr. Timothy S Staacke M.d. NPPES

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

DR. TIMOTHY S STAACKE M.D. (NPI 1457335523) is an individual interventional pain medicine provider in Kenosha, Wisconsin, licensed in Wisconsin (39495) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center Kenosha, and is a graduate of University Of Wisconsin School Of Medicine (1993).

NPPES Registry Identity

NPI1457335523

Entity TypeIndividualMale

Primary Taxonomy208VP0014X

Provider Legal NameDR. TIMOTHY S STAACKECredential: M.D.

Location Address10400 75TH STKenosha, WI 53142-7884

Mailing Address225 S Executive DrBrookfield, WI 53005-4266 · (262) 787-4026

Phone(262) 697-7000

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1993

Enumeration DateDecember 2, 2005

Last NPPES UpdateJune 29, 20222 updates tracked since enumeration

NPPES CertifiedJune 29, 2022

✔ NPI 1457335523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

License✔ Licensed in WI · 39495

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 39495-020 (WI)

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 39495 (WI)

10400 75TH ST, Kenosha, WI 53142

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Other Identifiers 1

Medicaid32412100WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Network Health, UnitedHealthcare.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

Dr. Timothy S Staacke M.d. 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 ID9638165251

PECOS Enrollment IDI20040421000307

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 Reassignment

Medicare enrollment records show Timothy Staacke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aurora Medical Group, Inc.

29 mi

Nurse Anesthetist, Certified Registered

3301 W FOREST HOME AVE
Milwaukee, WI 53215

Reassigned Medicare billing, Wisconsin enrollment
4,609 clinicians in this Medicare group

NPI 1427271378 (877) 576-3544

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

Areas of Expertise CMS Part B claims 21

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 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.

209 services134 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.

120 services88 patients

Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician 62370

This procedure involves a physician checking and adjusting your spinal canal drug infusion pump. The pump's programming is updated electronically and the medication reservoir is refilled, ensuring effective pain management and optimal device performance.

89 services27 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

68 services57 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

63 services50 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

43 services29 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484

This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.

35 services23 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

30 services30 patients

Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming 95972

This procedure involves electronically analyzing an implanted neurostimulator. This device sends electrical pulses to your spinal cord or peripheral nerves to manage pain. The programming is complex, requiring expert analysis to ensure proper functioning.

29 services20 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

28 services22 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

28 services24 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

26 services17 patients

Injection of lower or sacral spine facet joint using imaging guidance, second level 64494

This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.

26 services17 patients

Injection of trigger points, 3 or more muscles 20553

Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.

24 services18 patients

Destruction of nerve branches of knee using imaging guidance 64624

This procedure involves the use of imaging technology to accurately locate and destroy specific nerve branches in the knee. This can help reduce chronic knee pain. The procedure is minimally invasive and usually performed under local anesthesia.

22 services18 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.

20 services19 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

17 services17 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

15 services15 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 64636

This procedure involves using imaging technology to locate and treat nerves in your lower spine or sacral area that may be causing pain. Each additional facet joint refers to treating more than one spinal nerve. It's a non-invasive way to manage chronic back pain.

15 services15 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

15 services12 patients

Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin 0275T

This procedure involves removing a small portion of bone from your lower spine. The goal is to relieve pressure on your nerve tissue, improving comfort and mobility. It is done through the skin using imaging technology to ensure precision and safety.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520189

Location10400 75th StKenosha, WI 53142 · Kenosha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53142 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

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

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.

DR. UZMA REZVI M. D.

Anesthesiology

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 948-5600

DAVID B KITE PA

Physician Assistant

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 948-7000

MRS. SUSAN H. PERGANDE WHNP

Nurse Practitioner (Women's Health)

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 948-6714

DAVID ERIC FARKAS MD

Emergency Medicine

10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142

Kenosha County (262) 697-7000

PAULA MICHELLE OSGOOD CRNA

Nurse Anesthetist, Certified Registered

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 948-5600

DOROTHY KATHERINE FREE

Nurse Anesthetist, Certified Registered

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 948-5600

ZEBI FATIMA MD

Internal Medicine

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 942-5600

JENNIFER J JOHNSON RN

Registered Nurse (Critical Care Medicine)

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 948-5730

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 Timothy Staacke's NPI number?

The NPI number for Timothy Staacke is 1457335523. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Timothy Staacke located?

Timothy Staacke practices at 10400 75th St, Kenosha, WI 53142. The listed phone number is (262) 697-7000.

What is Timothy Staacke's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Timothy Staacke enrolled in Medicare?

Yes. Timothy Staacke 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 organization bills Medicare for Timothy Staacke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Staacke reassigns Medicare benefits to Aurora Medical Group, Inc. (Milwaukee, WI). The 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 Timothy Staacke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Staacke accept?

Health plans from CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Timothy Staacke 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 Timothy Staacke affiliated with any hospitals?

According to CMS data, Timothy Staacke is affiliated with Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Timothy Staacke was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.