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DR. KRISTA ANN SCHARER M.D.
NPI 1467694455
Family Medicine in Tomah, WI

Active since April 06, 2009PECOS EnrolledAccepts Medicare Assignment
83.72/100
CMS Quality Rating
325 BUTTS AVE, TOMAH, WI 54660(608) 372-5951 Get Directions Write a Review

NPPES record last updated: July 27, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Krista Ann Scharer M.d. NPPES

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

DR. KRISTA ANN SCHARER M.D. (NPI 1467694455) is an individual family medicine provider in Tomah, Wisconsin, licensed in Wisconsin (54870) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Aspirus Rhinelander Hospital, and is a graduate of University Of Wisconsin School Of Medicine (2009).

NPPES Registry Identity

NPI1467694455
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KRISTA ANN SCHARERCredential: M.D.
Location Address325 BUTTS AVETomah, WI 54660-1412
Mailing Address325 Butts AveTomah, WI 54660-1412 · (608) 372-5951
Phone(608) 372-5951
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2009
Enumeration DateApril 6, 2009
Last NPPES UpdateJuly 27, 2012
✔ NPI 1467694455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 54870
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.
325 BUTTS AVE, Tomah, WI 54660
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Other Names 1

Former Name (1)Dr. Krista Ann Bowman M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners 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. Krista Ann Scharer 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 ID2668645292
PECOS Enrollment IDI20111027000092
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 6

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.
245 services154 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
138 services138 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.
59 services50 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
26 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.
20 services19 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Aspirus Tomahawk Hospital

Critical Access Hospitals · Tomahawk, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521313
Location401 W Mohawk Dr Suite 100Tomahawk, WI 54487 · Lincoln County
Emergency services

Aspirus Merrill Hospital

Critical Access Hospitals · Merrill, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521339
Location601 S Center AveMerrill, WI 54452 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54660 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.54
Promoting Interoperability100
Improvement Activities40
Cost58.37

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers27 claims90 services$4.76 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$4.92 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$7.85 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$2.37 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier15 claims15 services$3.85 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers17 claims1,639 services$0.02 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.

JULIE ELIZABETH GOODHUE OTR
Occupational Therapist
325 BUTTS AVE
TOMAH, WI 54660
Monroe County (608) 785-0940
MRS. KATHRYN J REEDICH P.T.
Physical Therapist
325 BUTTS AVE
TOMAH, WI 54660
Monroe County (608) 372-5951
SHAREL A MARTIN MD
Emergency Medicine
325 BUTTS AVE
TOMAH, WI 54660
Monroe County (608) 372-5951
LISA C CLARK
Social Worker (Clinical)
325 BUTTS AVE
TOMAH, WI 54660
Monroe County (608) 372-5951
ANDREW LAST MD
Family Medicine
325 BUTTS AVE
TOMAH, WI 54660
Monroe County (608) 372-5999
JANE E WEISS PA
Physician Assistant (Medical)
325 BUTTS AVE
TOMAH, WI 54660
Monroe County (608) 372-5951
MEGAN R GRYGLESKI PA-C
Physician Assistant
325 BUTTS AVE
TOMAH, WI 54660
Monroe County (608) 372-5951
ABBEY ALICE ROSE CNM
Advanced Practice Midwife
325 BUTTS AVE
TOMAH, WI 54660
Monroe County (608) 372-5999

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 Krista Scharer's NPI number?

The NPI number for Krista Scharer is 1467694455. It was assigned to this individual provider in the NPPES registry on April 6, 2009. The provider is also known as Dr. Krista Ann Bowman M.D..

Where is Krista Scharer located?

Krista Scharer practices at 325 Butts Ave, Tomah, WI 54660. The listed phone number is (608) 372-5951.

What is Krista Scharer's specialty?

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

Is Krista Scharer enrolled in Medicare?

Yes. Krista Scharer 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 Krista Scharer accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Krista Scharer 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 Krista Scharer affiliated with any hospitals?

According to CMS data, Krista Scharer is affiliated with Aspirus Rhinelander Hospital, Aspirus Wausau Hospital, Aspirus Tomahawk Hospital and Aspirus Merrill Hospital.

When was this NPI record last updated?

The NPPES record for Krista Scharer was last updated on July 27, 2012. 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.