DR. THOMAS JAMES WOLFE M.D.
NPI 1568548642
Psychiatry & Neurology - Neurology in Milwaukee, WI

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment
2801 W KINNICKINNIC RIVER PKWY, STE 630, MILWAUKEE, WI 53215(414) 385-1922(414) 385-1899 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 24, 2021, Oct 17, 2016 (2 updates tracked since 2016).

About Dr. Thomas James Wolfe M.d. NPPES

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

DR. THOMAS JAMES WOLFE M.D. (NPI 1568548642) is an individual neurology provider in Milwaukee, Wisconsin, licensed in Wisconsin (47788) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora Memorial Hospital Burlington, and is a graduate of Medical College Of Wisconsin (2003).

NPPES Registry Identity

NPI1568548642
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. THOMAS JAMES WOLFECredential: M.D.
Location Address2801 W KINNICKINNIC RIVER PKWY, STE 630Milwaukee, WI 53215-3669
Mailing Address2801 W Kinnickinnic River Pkwy, 630Milwaukee, WI 53215-3669 · (414) 385-1922 · Fax (414) 385-1899
Fax(414) 385-1899
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2003
Enumeration DateOctober 31, 2006
Last NPPES UpdateNovember 24, 20212 updates tracked since enumeration
NPPES CertifiedNovember 24, 2021
NPI 1568548642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in WI · 47788 Licensed in CA · A109946
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Vascular NeurologyTaxonomy 2084V0102X · License A109946 (CA)
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License A109946 (CA)
2801 W KINNICKINNIC RIVER PKWY, Milwaukee, WI 53215

Other Identifiers 3

Medicaid1568548642WI
Other47788WI · State Medical License
OtherA109946CA · State Medical License

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

Dr. Thomas James Wolfe 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 ID8123127099
PECOS Enrollment IDI20070619000433
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 5

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.
22 services21 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.
19 services18 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.
16 services16 patients
Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist 36224
This procedure involves placing a small tube into your neck artery. It helps diagnose or treat certain conditions. A radiologist, a doctor specializing in medical imaging, reviews the process to ensure accuracy and safety.
13 services13 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.
13 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Aurora Memorial Hospital Burlington

Acute Care Hospitals · Burlington, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520059
Location252 Mchenry StBurlington, WI 53105 · Racine County
Emergency services

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

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520206
Location36500 Aurora DriveSummit, WI 53066 · Waukesha County
Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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 20

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

Registered Nurse
2801 W KINNICKINNIC RIVER PKWY, STE 525
MILWAUKEE, WI 53215
Physician Assistant
2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
Internal Medicine (Cardiovascular Disease)
2801 W KINNICKINNIC RIVER PKWY, 840
MILWAUKEE, WI 53215
Internal Medicine (Cardiovascular Disease)
2801 W KINNICKINNIC RIVER PKWY, STE 840
MILWAUKEE, WI 53215
Physician Assistant
2801 W KINNICKINNIC RIVER PKWY, SUITE 345
MILWAUKEE, WI 53215
Orthopaedic Surgery
2801 W KINNICKINNIC RIVER PKWY, SUITE 575
MILWAUKEE, WI 53215
Anesthesiology
2801 W KINNICKINNIC RIVER PKWY, SUITE 453
MILWAUKEE, WI 53215
Internal Medicine (Clinical Cardiac Electrophysiology)
2801 W KINNICKINNIC RIVER PKWY, SUITE 777
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 Thomas Wolfe's NPI number?

The NPI number for Thomas Wolfe is 1568548642. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Thomas Wolfe located?

Thomas Wolfe practices at 2801 W Kinnickinnic River Pkwy Ste 630, Milwaukee, WI 53215. The listed phone number is (414) 385-1922.

What is Thomas Wolfe's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Thomas Wolfe enrolled in Medicare?

Yes. Thomas Wolfe 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 Thomas Wolfe accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz list Thomas Wolfe 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 Thomas Wolfe affiliated with any hospitals?

According to CMS data, Thomas Wolfe is affiliated with Aurora Memorial Hospital Burlington, Aurora St Lukes Medical Center, Aurora Medical Center Kenosha, Aurora Medical Center - Summit and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Wolfe was last updated on November 24, 2021. 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.