ANDREW D NAVARRETE M.D.
NPI 1518197326
Plastic Surgery in Milwaukee, WI

Active since July 15, 2009PECOS EnrolledAccepts Medicare Assignment
2801 W KINNICKINNIC RIVER PKWY, SUITE 430, MILWAUKEE, WI 53215(414) 649-5038(414) 385-2481 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2024, Aug 5, 2024, Dec 15, 2021 (3 updates tracked since 2021).

About Andrew D Navarrete M.d. NPPES

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

ANDREW D NAVARRETE M.D. (NPI 1518197326) is an individual plastic surgery provider in Milwaukee, Wisconsin, licensed in Wisconsin (54970-20) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of University Of Wisconsin School Of Medicine (2009).

NPPES Registry Identity

NPI1518197326
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameANDREW D NAVARRETECredential: M.D.
Location Address2801 W KINNICKINNIC RIVER PKWY, SUITE 430Milwaukee, WI 53215-3669
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Fax(414) 385-2481
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2009
Enumeration DateJuly 15, 2009
Last NPPES UpdateSeptember 19, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
NPI 1518197326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in WI · 54970-20
Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License 54970-20 (WI)
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License A128002 (CA), 54970-20 (WI)
2801 W KINNICKINNIC RIVER PKWY, Milwaukee, WI 53215

Other Identifiers 1

Medicaid100032155WI

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

Andrew D Navarrete 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 ID840413076
PECOS Enrollment IDI20150828001711
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.

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.
55 services55 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.
44 services33 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients
Release of wrist ligament using an endoscope 29848
This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520139
Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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
$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.

Internal Medicine (Cardiovascular Disease)
2801 W KINNICKINNIC RIVER PKWY, SUITE 840
MILWAUKEE, WI 53215
Physician Assistant (Medical)
2801 W KINNICKINNIC RIVER PKWY, #840
MILWAUKEE, WI 53215
Internal Medicine (Cardiovascular Disease)
2801 W KINNICKINNIC RIVER PKWY, 840
MILWAUKEE, WI 53215
Physician Assistant
2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
Urology
2801 W KINNICKINNIC RIVER PKWY, STE 370
MILWAUKEE, WI 53215
Urology
2801 W KINNICKINNIC RIVER PKWY, STE 370
MILWAUKEE, WI 53215
Urology
2801 W KINNICKINNIC RIVER PKWY, STE 370
MILWAUKEE, WI 53215
Ophthalmology
2801 W KINNICKINNIC RIVER PKWY, STE 170
MILWAUKEE, WI 53215

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 Andrew Navarrete's NPI number?

The NPI number for Andrew Navarrete is 1518197326. It was assigned to this individual provider in the NPPES registry on July 15, 2009.

Where is Andrew Navarrete located?

Andrew Navarrete practices at 2801 W Kinnickinnic River Pkwy Suite 430, Milwaukee, WI 53215. The listed phone number is (414) 649-5038.

What is Andrew Navarrete's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Andrew Navarrete enrolled in Medicare?

Yes. Andrew Navarrete 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 Andrew Navarrete accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Andrew Navarrete 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 Andrew Navarrete affiliated with any hospitals?

According to CMS data, Andrew Navarrete is affiliated with Aurora St Lukes Medical Center and West Allis Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Navarrete was last updated on September 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.