Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BETSY REVERS DO
NPI 1609516038
Family Medicine in Antigo, WI

Q: What is Betsy Revers's NPI number?

The NPI number for Betsy Revers is 1609516038. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Q: What is Betsy Revers's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Betsy Revers was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.

Active since April 01, 2022PECOS Enrolled

110 E 5TH AVE, ANTIGO, WI 54409(715) 623-2351 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2026, May 29, 2025 (2 updates tracked since 2025).

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About Betsy Revers Do NPPES

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

BETSY REVERS DO (NPI 1609516038) is an individual family medicine provider in Antigo, Wisconsin, licensed in Wisconsin (8163221) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609516038

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameBETSY REVERSCredential: DO

Location Address110 E 5TH AVEAntigo, WI 54409-2710

Mailing AddressN5352 County Road VBryant, WI 54418-9790 · (414) 388-0535

Phone(715) 623-2351

Sole ProprietorNo

Enumeration DateApril 1, 2022

Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration

NPPES CertifiedJuly 7, 2026

✔ NPI 1609516038 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 · 8163221

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.

110 E 5TH AVE, Antigo, WI 54409

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Betsy Revers Do 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 54409 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 18

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

BONNIE J HESSEDAL RD

Dietitian, Registered