MARIA AKHTER DO
NPI 1578980892
Internal Medicine in Mount Pleasant, WI

Active since March 25, 2014PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
3801 SPRING ST, MOUNT PLEASANT, WI 53405(262) 687-4011 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 10, 2019, Mar 13, 2019, Dec 3, 2018 and 2 more (5 updates tracked since 2017).

About Maria Akhter Do NPPES

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

MARIA AKHTER DO (NPI 1578980892) is an individual internal medicine provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (71679) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1578980892
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARIA AKHTERCredential: DO
Location Address3801 SPRING STMount Pleasant, WI 53405-1667
Mailing Address3801 Spring StMount Pleasant, WI 53405-1667 · (262) 687-4011
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 25, 2014
Last NPPES UpdateSeptember 10, 20195 updates tracked since enumeration
NPI 1578980892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in WI · 71679 Licensed in IL · 036143680
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 036143680 (IL)
3801 SPRING ST, Mount Pleasant, WI 53405

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

Maria Akhter Do 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 ID4284929456
PECOS Enrollment IDI20190919002222
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
167 services61 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
45 services44 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53405 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.

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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$90.96 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.

Pharmacist
3801 SPRING ST
RACINE, WI 53405
Emergency Medicine
3801 SPRING ST
RACINE, WI 53405
Anesthesiology
3801 SPRING ST
RACINE, WI 53405
Anesthesiology
3801 SPRING ST
RACINE, WI 53405
Anesthesiology
3801 SPRING ST
RACINE, WI 53405
Anesthesiology
3801 SPRING ST
RACINE, WI 53405
Anesthesiology
3801 SPRING ST
RACINE, WI 53405
Anesthesiology
3801 SPRING ST
RACINE, WI 53405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578980892, enumerated as an "individual" on March 25, 2014.

The provider is located at 3801 SPRING ST MOUNT PLEASANT, WI 53405 and the phone number is (262) 687-4011.

Internal Medicine with taxonomy code 207R00000X.

Maria Akhter is affiliated with: ASCENSION ALL SAINTS HOSPITAL.