DAVID E AUGUSTINE M.D.
NPI 1619083185
Family Medicine in Manitowoc, WI

Q: What is David Augustine's NPI number?

The NPI number for David Augustine is 1619083185. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Q: What is David Augustine'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 David Augustine was last updated on December 13, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment

1650 S 41ST ST, MANITOWOC, WI 54220(920) 320-4500(920) 682-9378 Get Directions Write a Review

NPPES record last updated: December 13, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About David E Augustine M.d. NPPES

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

DAVID E AUGUSTINE M.D. (NPI 1619083185) is an individual family medicine provider in Manitowoc, Wisconsin, licensed in Wisconsin (33601) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Health System Corp, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1619083185

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDAVID E AUGUSTINECredential: M.D.

Location Address1650 S 41ST STManitowoc, WI 54220-7316

Mailing Address1650 S 41st StManitowoc, WI 54220-7316 · (920) 320-4500 · Fax (920) 320-4584

Phone(920) 320-4500

Fax(920) 682-9378

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateAugust 21, 2006

Last NPPES UpdateDecember 13, 2010

✔ NPI 1619083185 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 · 33601

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.

1650 S 41ST ST, Manitowoc, WI 54220

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Other Identifiers 11

Other390806395WI · Champus

Other390806395008WI · Tricare

Medicare UPINF31064

Other33601WI · Touchpoint

Medicare ID-Type Unspecified000138170WI

Other080126370WI · Medicare Railroad

OtherF31064WI · Cigna

Medicaid31852600WI

Other390806395WI · Wea

Other00001598648 02WI · United Health

Other7413WI · Network Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MercyCare Health Plans.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

David E Augustine 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 ID42407348

PECOS Enrollment IDI20101213000926

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 7

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.

246 services173 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.

79 services64 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

50 services50 patients

Adm sarscov2 50mcg/0.25mlbst 0064A

This procedure involves administering a dose of a SARS-CoV-2 vaccine. The specific dosage is 50 micrograms in a 0.25 milliliter booster shot. This vaccine helps your body build immunity against the COVID-19 virus. It's a key part of global efforts to control the pandemic.

18 services18 patients

Sarscov2 vac 50mcg/0.25ml im 91306

The Sarscov2 vac 50mcg/0.25ml im is a COVID-19 vaccine. It's administered as an intramuscular injection, typically in the arm. The vaccine helps your body develop immunity to the virus, reducing your risk of severe illness.

18 services18 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.

15 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520066

Location1000 Mineral Point AveJanesville, WI 53548 · Rock County

Emergency services Birthing friendly

Mercy Walworth Hospital & Medical Center

Critical Access Hospitals · Lake Geneva, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521357

LocationN2950 State Road 67Lake Geneva, WI 53147 · Walworth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54220 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.

Referred Medical Equipment & Supplies CMS DME claims 20

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers29 claims64 services$5.96 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers13 claims16 services$0.99 avg. paid by Medicare

Male external catheter, with or without adhesive, disposable, each A4349

DME-Medical/Surgical Supplies · category DA000N

1 supplier13 claims455 services$1.83 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier13 claims13 services$8.65 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

1 supplier13 claims26 services$5.91 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers25 claims25 services$37.70 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers12 claims12 services$105.63 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

1 supplier13 claims61 services$20.45 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

2 suppliers20 claims20 services$59.03 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

2 suppliers19 claims19 services$23.49 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers26 claims112 services$2.48 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

2 suppliers12 claims12 services$11.72 avg. paid by Medicare

Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims360 services$5.52 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims4,320 services$0.48 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier11 claims11 services$16.88 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier14 claims14 services$47.52 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 supplier17 claims17 services$105.56 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

1 supplier11 claims3,285 services$0.03 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

1 supplier11 claims675 services$0.13 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

1 supplier11 claims11 services$21.29 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.

JASON JOHN TERRY ATC, LAT, CSCS

Specialist/Technologist (Athletic Trainer)

1650 S 41ST ST
MANITOWOC, WI 54220

Manitowoc County (920) 320-3124

THOMAS SEPPO ASUMA ATC, LAT

Specialist/Technologist (Athletic Trainer)

1650 S 41ST ST
MANITOWOC, WI 54220

Manitowoc County (920) 320-3100

MS. LUANN MORASKI DO

Internal Medicine

1650 S 41ST ST
MANITOWOC, WI 54220

Manitowoc County (920) 320-4500

RONALD GEORGE MANNING MD

Physical Medicine & Rehabilitation

1650 S 41ST ST
MANITOWOC, WI 54220

Manitowoc County (920) 320-5241

LAURENCE J VERLINDEN M.D.

Family Medicine

1650 S 41ST ST
MANITOWOC, WI 54220

Manitowoc County (920) 320-4500

BARBARA J BACKUS N.P.

Nurse Practitioner (Family)

1650 S 41ST ST
MANITOWOC, WI 54220

Manitowoc County (920) 320-4500

GARY A SCHMIDT M.D.

Family Medicine

1650 S 41ST ST
MANITOWOC, WI 54220

Manitowoc County (920) 320-4500

CHERIE L WADLE M.S. CCC-SLP

Speech-Language Pathologist

1650 S 41ST ST
MANITOWOC, WI 54220

Manitowoc County (920) 320-2250

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 Augustine's NPI number?

The NPI number for David Augustine is 1619083185. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is David Augustine located?

David Augustine practices at 1650 S 41st St, Manitowoc, WI 54220. The listed phone number is (920) 320-4500.

What is David Augustine's specialty?

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

Is David Augustine enrolled in Medicare?

Yes. David Augustine 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 Augustine accept?

Health plans from Anthem Blue Cross and Blue Shield and MercyCare Health Plans list David Augustine 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 Augustine affiliated with any hospitals?

According to CMS data, David Augustine is affiliated with Mercy Health System Corp and Mercy Walworth Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for David Augustine was last updated on December 13, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.