DR. DAVID A. KNIGHT MD, PHD.
NPI 1598969644
Internal Medicine - Hematology & Oncology in Pleasant Prairie, WI

Active since June 13, 2007PECOS EnrolledAccepts Medicare Assignment
79.61/100
CMS Quality Rating
9555 76TH ST, SUITE 2630, PLEASANT PRAIRIE, WI 53158(262) 671-7300(262) 577-8617 Get Directions Write a Review

NPPES record last updated: October 27, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. David A. Knight Md, Phd. NPPES

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

DR. DAVID A. KNIGHT MD, PHD. (NPI 1598969644) is an individual hematology & oncology provider in Pleasant Prairie, Wisconsin, licensed in Wisconsin (55540) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and maintains a secondary practice location in Pleasant Prairie.

NPPES Registry Identity

NPI1598969644
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. DAVID A. KNIGHTCredential: MD, PHD.
Location Address9555 76TH ST, SUITE 2630Pleasant Prairie, WI 53158-1984
Mailing Address6308 8th Avenue, Attn: Medical StaffKenosha, WI 53143-5031 · (262) 656-3313 · Fax (262) 653-5850
Fax(262) 577-8617
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2002
Enumeration DateJune 13, 2007
Last NPPES UpdateOctober 27, 2017
NPI 1598969644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses Licensed in WI · 55540 Licensed in IN · 01064963A Licensed in IL · 036113675
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

9555 76TH ST, Pleasant Prairie, WI 53158

Secondary Practice Location 1

Location 19555 76th St, Suite 2630Pleasant Prairie, WI 53158-1984 · Phone (262) 671-7300 · Fax (262) 577-8617

Other Identifiers 4

Medicaid1598969644WI
Medicare PIN322500128WI
Medicare UPIN206870B
Medicaid200910380IN

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. David A. Knight Md, Phd. 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 ID941374607
PECOS Enrollment IDI20110719000007
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 20

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, 30-39 minutes 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.
1,161 services350 patients
Established patient office or other outpatient visit, 40-54 minutes 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.
761 services246 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
219 services182 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
187 services35 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
187 services35 patients
Follow-up hospital inpatient care per day, typically 25 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.
151 services64 patients

Hospital Affiliations CMS Care Compare

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53158 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
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.

79.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.88
Promoting Interoperability100
Improvement Activities40
Cost61.15

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier20 claims20 services$13.80 avg. paid by Medicare
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
1 supplier23 claims23 services$63.51 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims612 services$0.80 avg. paid by Medicare
Temozolomide, oral, 5 mg J8700
Treatment-Treatment - Miscellaneous · category RX000N
1 supplier13 claims2,149 services$0.32 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier12 claims12 services$17.36 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier16 claims28 services$12.63 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.

Family Medicine
9555 76TH ST, SUITE 2602
PLEASANT PRAIRIE, WI 53158
Physical Therapist
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Physical Therapist
9555 76TH ST, SUITE 2620
PLEASANT PRAIRIE, WI 53158
Physical Therapy Assistant
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Physical Therapy Assistant
9555 76TH ST, SUITE 2620
PLEASANT PRAIRIE, WI 53158
Physical Therapy Assistant
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Obstetrics & Gynecology (Gynecology)
9555 76TH ST, SUITE 4105
PLEASANT PRAIRIE, WI 53158
Pediatrics
9555 76TH ST, SUITE 4106
PLEASANT PRAIRIE, WI 53158

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 David Knight's NPI number?

The NPI number for David Knight is 1598969644. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is David Knight located?

David Knight practices at 9555 76th St Suite 2630, Pleasant Prairie, WI 53158. The listed phone number is (262) 671-7300.

What is David Knight's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is David Knight enrolled in Medicare?

Yes. David Knight 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 David Knight accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list David Knight 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 David Knight affiliated with any hospitals?

According to CMS data, David Knight is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for David Knight was last updated on October 27, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.