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DR. PETER PARTHUM M.D., M.P.H.
NPI 1518930288
Family Medicine in Hales Corners, WI

Active since February 10, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 52D0872489 · Microscopy
10691 W PARNELL AVE, HALES CORNERS, WI 53130(414) 427-7787(414) 427-7797 Get Directions Write a Review

NPPES record last updated: July 19, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Peter Parthum M.d., M.p.h. NPPES

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

DR. PETER PARTHUM M.D., M.P.H. (NPI 1518930288) is an individual family medicine provider in Hales Corners, Wisconsin, licensed in Wisconsin (21198) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through June 29, 2027, and is a graduate of Medical College Of Wisconsin (1976).

NPPES Registry Identity

NPI1518930288
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PETER PARTHUMCredential: M.D., M.P.H.
Location Address10691 W PARNELL AVEHales Corners, WI 53130-2024
Mailing AddressS63w14899 Garden TerMuskego, WI 53150-8312 · (414) 422-1021 · Fax (414) 427-7797
Phone(414) 427-7787
Fax(414) 427-7797
Sole ProprietorYes
Medical School CMSMedical College Of WisconsinGraduated 1976
Enumeration DateFebruary 10, 2006
Last NPPES UpdateJuly 19, 2010
✔ NPI 1518930288 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 · 21198
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.
10691 W PARNELL AVE, Hales Corners, WI 53130
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Other Identifiers 3

Medicare ID-Type Unspecified73001WI
Medicare UPINE-16113WI
Medicaid31899900WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.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. Peter Parthum M.d., M.p.h. 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 ID4981729035
PECOS Enrollment IDI20100914000374
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 52D0872489

Peter Parthum MD · Hales Corners, WI
Active · expires Jun 29, 2027
CLIA Number52D0872489
Laboratory TypePhysician Office
Certificate Effective DateJune 30, 2025
Certificate Expiration DateJune 29, 2027
Laboratory DirectorPeter Parthum, MD
Laboratory Phone(414) 427-7787
Laboratory LocationPeter Parthum MD10691 W Parnell Ave, Hales Corners, WI 53130
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 3

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 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.
165 services19 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
100 services16 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53130 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

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

DR. MARY LOUISE BELL PH.D
Psychologist
10691 W PARNELL AVE
HALES CORNERS, WI 53130
Milwaukee County (414) 807-6151

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 Peter Parthum's NPI number?

The NPI number for Peter Parthum is 1518930288. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Peter Parthum located?

Peter Parthum practices at 10691 W Parnell Ave, Hales Corners, WI 53130. The listed phone number is (414) 427-7787.

What is Peter Parthum's specialty?

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

Is Peter Parthum enrolled in Medicare?

Yes. Peter Parthum 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.

Does Peter Parthum hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 52D0872489) is associated with this NPI, valid through June 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Peter Parthum accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Peter Parthum 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 Peter Parthum was last updated on July 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.