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DR. LLOYD CHARLES CASSIDY IV MD
NPI 1457795569
Family Medicine in Green Bay, WI

Active since April 18, 2013PECOS EnrolledAccepts Medicare Assignment
124 SIEGLER ST, GREEN BAY, WI 54303(920) 605-3115(920) 486-6826 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2021, Jun 4, 2019, Sep 24, 2018 (3 updates tracked since 2018).

About Dr. Lloyd Charles Cassidy Iv Md NPPES

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

DR. LLOYD CHARLES CASSIDY IV MD (NPI 1457795569) is an individual family medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (70125) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1457795569
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LLOYD CHARLES CASSIDY IVCredential: MD
Location Address124 SIEGLER STGreen Bay, WI 54303-2636
Mailing Address353 N Desplaines St Apt 607Chicago, IL 60661-1245 · (847) 502-2979
Phone(920) 605-3115
Fax(920) 486-6826
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 18, 2013
Last NPPES UpdateJanuary 27, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2021
✔ NPI 1457795569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WI · 70125✔ Licensed in TX · Q6620✔ Licensed in IL · 036144493
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
124 SIEGLER ST, Green Bay, WI 54303
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Secondary Practice Locations 3

Location 11500 S Main St, Family Medicine Residency ProgramFort Worth, TX 76104-4917 · Phone (817) 702-1204
Location 22875 W. 19th StreetChicago, IL 60623 · Phone (773) 484-1000
Location 3100 County RoadShawano, WI 54166-7072 · Phone (715) 526-2111 · Fax (715) 526-7308

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and more.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

Dr. Lloyd Charles Cassidy Iv 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 ID7810213451
PECOS Enrollment IDI20190418001271
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.

Hospital Affiliations CMS Care Compare 4

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

Holy Family Memorial

Acute Care Hospitals · Manitowoc, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520107
Location2300 Western AveManitowoc, WI 54221 · Manitowoc County
Emergency services

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Bellin Health Oconto Hospital

Critical Access Hospitals · Oconto, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521356
Location820 Arbutus AveOconto, WI 54153 · Oconto County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54303 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
$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 4

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

MATTHEW KRUEGER JENSON MD
Family Medicine
124 SIEGLER ST
GREEN BAY, WI 54303
Brown County (920) 494-9661
DOUSMAN CLINIC, S.C.
Family Medicine
124 SIEGLER ST
GREEN BAY, WI 54303
Brown County (920) 494-9661
MARK K JENSON M.D.
Family Medicine
124 SIEGLER ST
GREEN BAY, WI 54303
Brown County (920) 494-9661
BELLIN MEMORIAL HOSPITAL INC
Pediatrics
124 SIEGLER ST
GREEN BAY, WI 54303
Brown County (920) 497-7771

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 Lloyd Cassidy's NPI number?

The NPI number for Lloyd Cassidy is 1457795569. It was assigned to this individual provider in the NPPES registry on April 18, 2013.

Where is Lloyd Cassidy located?

Lloyd Cassidy practices at 124 Siegler St, Green Bay, WI 54303. The listed phone number is (920) 605-3115.

What is Lloyd Cassidy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lloyd Cassidy enrolled in Medicare?

Yes. Lloyd Cassidy 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 Lloyd Cassidy accept?

Health plans from Anthem Blue Cross and Blue Shield, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CareSource (Common Ground Healthcare) and HealthPartners and 1 other insurer list Lloyd Cassidy 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 Lloyd Cassidy affiliated with any hospitals?

According to CMS data, Lloyd Cassidy is affiliated with Bellin Memorial Hospital, Holy Family Memorial, Thedacare Regional Medical Center - Appleton Inc and Bellin Health Oconto Hospital.

When was this NPI record last updated?

The NPPES record for Lloyd Cassidy was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.