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DR. DANIEL LEE ICENOGLE M.D.
NPI 1598714016
Family Medicine in Viroqua, WI

Active since May 10, 2006PECOS Enrolled
507 S MAIN ST, VIROQUA, WI 54665(608) 637-4260(608) 637-7492 Get Directions Write a Review

NPPES record last updated: February 18, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Daniel Lee Icenogle M.d. NPPES

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

DR. DANIEL LEE ICENOGLE M.D. (NPI 1598714016) is an individual family medicine provider in Viroqua, Wisconsin, licensed in Wisconsin (29039) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598714016
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DANIEL LEE ICENOGLECredential: M.D.
Location Address507 S MAIN STViroqua, WI 54665-2059
Mailing AddressS7563 Riley RdReadstown, WI 54652-8030 · (608) 637-4260 · Fax (608) 637-7492
Phone(608) 637-4260
Fax(608) 637-7492
Sole ProprietorNo
Enumeration DateMay 10, 2006
Last NPPES UpdateFebruary 18, 2013
✔ NPI 1598714016 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 · 29039
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.
507 S MAIN ST, Viroqua, WI 54665
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Other Identifiers 3

Medicare UPINC46090
Medicare ID-Type Unspecified01300202WI
Medicaid3136880WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Daniel Lee Icenogle M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54665 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 20

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

ARNOLD H NOMANN CRNA
Nurse Anesthetist, Certified Registered
507 S MAIN ST
VIROQUA, WI 54665
Vernon County (608) 637-4230
JOSEPH GENE WILLIS PT
Physical Therapist
507 S MAIN ST
VIROQUA, WI 54665
Vernon County (608) 637-4385
BETH ANN WINTER PA-C
Physician Assistant
507 S MAIN ST
VIROQUA, WI 54665
Vernon County (608) 625-2494
JESSICA MERZENICH
Physician Assistant
507 S MAIN ST
VIROQUA, WI 54665
Vernon County (608) 637-2101
SONDRA DELAP
Clinical Exercise Physiologist
507 S MAIN ST, CARDIAC REHAB DEPARTMENT
VIROQUA, WI 54665
Vernon County (608) 637-4497
MICHAEL LOEBERTMAN
Family Medicine
507 S MAIN ST
VIROQUA, WI 54665
Vernon County (608) 637-4202
ALLISON LYNN WILLIAMSON PTA
Physical Therapy Assistant
507 S MAIN ST, VERNON MEMORIAL HOSPITAL
VIROQUA, WI 54665
Vernon County (608) 637-4385
ELIZABETH YAMRISKA PT, DPT
Physical Therapist
507 S MAIN ST
VIROQUA, WI 54665
Vernon County (608) 637-4385

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 Daniel Icenogle's NPI number?

The NPI number for Daniel Icenogle is 1598714016. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Daniel Icenogle located?

Daniel Icenogle practices at 507 S Main St, Viroqua, WI 54665. The listed phone number is (608) 637-4260.

What is Daniel Icenogle's specialty?

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

Is Daniel Icenogle enrolled in Medicare?

Yes. Daniel Icenogle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daniel Icenogle was last updated on February 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.