MS. AMY R DYSART MD
NPI 1629123716
Obstetrics & Gynecology in Two Rivers, WI

Active since January 25, 2007PECOS EnrolledAccepts Medicare Assignment
5300 MEMORIAL DR, TWO RIVERS, WI 54241(920) 793-6500(920) 793-6501 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2026, Jul 30, 2024, Oct 11, 2023 and 1 more (4 updates tracked since 2021).

About Ms. Amy R Dysart Md NPPES

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

MS. AMY R DYSART MD (NPI 1629123716) is an individual obstetrics & gynecology provider in Two Rivers, Wisconsin, licensed in Wisconsin (43777) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2000).

NPPES Registry Identity

NPI1629123716
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMS. AMY R DYSARTCredential: MD
Location Address5300 MEMORIAL DRTwo Rivers, WI 54241-3923
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Fax(920) 793-6501
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2000
Enumeration DateJanuary 25, 2007
Last NPPES UpdateApril 9, 20264 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1629123716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in WI · 43777✔ Licensed in IL · 036-165653
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5300 MEMORIAL DR, Two Rivers, WI 54241

Secondary Practice Locations 2

Location 127790 W Highway 22 Ste 36Barrington, IL 60010-2396 · Phone (847) 381-8181
Location 21 Ingalls DrHarvey, IL 60426-3558 · Phone (855) 826-3878

Other Identifiers 1

Medicaid70033900WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Amy R Dysart Md 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 ID8426011099
PECOS Enrollment IDI20041105000194
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Amy Dysart reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
Family Medicine
3003 W GOOD HOPE RD
Milwaukee, WI 53209
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,615 clinicians in this Medicare group
Internal Medicine
1675 LEAHY ST STE 324B
Muskegon, MI 49442
  • Reassigned Medicare billing, Michigan enrollment
  • 150 clinicians in this Medicare group
Cardiovascular Disease
1775 DEMPSTER ST
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54241 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

Nurse Practitioner
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Physical Therapy Assistant
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Nurse Practitioner
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Registered Nurse (Diabetes Educator)
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Otolaryngology
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Pediatrics
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Optometrist
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Surgery
5300 MEMORIAL DR
TWO RIVERS, WI 54241

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 Amy Dysart's NPI number?

The NPI number for Amy Dysart is 1629123716. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Amy Dysart located?

Amy Dysart practices at 5300 Memorial Dr, Two Rivers, WI 54241. The listed phone number is (920) 793-6500.

What is Amy Dysart's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Amy Dysart enrolled in Medicare?

Yes. Amy Dysart 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.

Which organizations bill Medicare for Amy Dysart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Dysart reassigns Medicare benefits to 4 organizations: Aurora Medical Group, Inc. (Sheboygan, WI), Aurora Advanced Healthcare, Inc. (Milwaukee, WI), Mercy Health Partners - Physician Specialist (Muskegon, MI) and Lutheran General Hospital (Park Ridge, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Dysart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Dysart accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and CareSource (Common Ground Healthcare) and 6 other insurers list Amy Dysart 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.

When was this NPI record last updated?

The NPPES record for Amy Dysart was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.