DAVID M DANBY M.D.
NPI 1497861983
Family Medicine in Oneida, WI

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
93.44/100
CMS Quality Rating
525 AIRPORT DR, ONEIDA, WI 54155(920) 869-2711(920) 869-4979 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 2, 2017, Jan 28, 2016 and 1 more (4 updates tracked since 2016).

About David M Danby M.d. NPPES

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

DAVID M DANBY M.D. (NPI 1497861983) is an individual family medicine provider in Oneida, Wisconsin, licensed in Wisconsin (29247) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (1986).

NPPES Registry Identity

NPI1497861983
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAVID M DANBYCredential: M.D.
Location Address525 AIRPORT DROneida, WI 54155-9035
Mailing AddressPo Box 365Oneida, WI 54155-0365 · (920) 869-4861 · Fax (920) 869-4979
Fax(920) 869-4979
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1986
Enumeration DateAugust 21, 2006
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1497861983 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 · 29247
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.
525 AIRPORT DR, Oneida, WI 54155

Other Identifiers 9

Other11755WI · Network Health
Medicaid31419800WI
OtherX7039320002WI · Managed Health Services
Other080029383WI · Medicare Railroad
Other390806395WI · Wps
OtherB52297WI · Cigna
Other390806395003WI · Champus
Other00001267253 01WI · United Health
Other110004056WI · Wea

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

David M Danby 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 ID4789638255
PECOS Enrollment IDI20050308000567
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 4

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.
117 services61 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.
37 services31 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
23 services11 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54155 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.

93.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.61
Promoting Interoperability99
Improvement Activities40
Cost76.71

Referred Medical Equipment & Supplies CMS DME claims

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

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers17 claims17 services$37.28 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.

Dietitian, Registered
525 AIRPORT DR
ONEIDA, WI 54155
Urology
525 AIRPORT DR
ONEIDA, WI 54155
Health Educator
525 AIRPORT DR
ONEIDA, WI 54155
Health Educator
525 AIRPORT DR
ONEIDA, WI 54155
Nurse Practitioner (Adult Health)
525 AIRPORT DR
ONEIDA, WI 54155
Optometrist
525 AIRPORT DR
ONEIDA, WI 54155
Dental Hygienist
525 AIRPORT DR
ONEIDA, WI 54155
Physical Therapist
525 AIRPORT DR
ONEIDA, WI 54155

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 David Danby's NPI number?

The NPI number for David Danby is 1497861983. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is David Danby located?

David Danby practices at 525 Airport Dr, Oneida, WI 54155. The listed phone number is (920) 869-2711.

What is David Danby's specialty?

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

Is David Danby enrolled in Medicare?

Yes. David Danby 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 David Danby accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Network Health and Security Health Plan list David Danby 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.

When was this NPI record last updated?

The NPPES record for David Danby was last updated on July 21, 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.