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ANDREW CLITHERO D.O.
NPI 1639528037
Family Medicine - Sleep Medicine in Milwaukee, WI

Active since June 07, 2016PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
8700 WATERTOWN PLANK RD, MILWAUKEE, WI 53226(414) 955-0437(414) 955-0093 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew Clithero D.o. NPPES

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

ANDREW CLITHERO D.O. (NPI 1639528037) is an individual sleep medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (71-321) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Ascension Se Wisconsin Hospital, and is a graduate of Kansas City Medical College (2016).

NPPES Registry Identity

NPI1639528037
Entity TypeIndividualMale
Primary Taxonomy207QS1201X
Provider Legal NameANDREW CLITHEROCredential: D.O.
Location Address8700 WATERTOWN PLANK RDMilwaukee, WI 53226-3595
Mailing Address8700 Watertown Plank RdMilwaukee, WI 53226-3595 · (414) 955-0437 · Fax (414) 955-0093
Phone(414) 955-0437
Fax(414) 955-0093
Sole ProprietorNo
Medical School CMSKansas City Medical CollegeGraduated 2016
Enumeration DateJune 7, 2016
Last NPPES UpdateApril 7, 2026
NPPES CertifiedApril 7, 2026
✔ NPI 1639528037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS1201X
License✔ Licensed in WI · 71-321
Definition
A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 71-321 (WI)
8700 WATERTOWN PLANK RD, Milwaukee, WI 53226
Open in Google Maps ↗

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

Andrew Clithero D.o. 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 ID941567028
PECOS Enrollment IDI20190731002137
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 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.
66 services35 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
30 services14 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
26 services26 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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.

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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

Other Providers at the Same Location NPPES 8

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

MR. TIMOTHY PETRIE DPT
Physical Therapist (Sports)
8700 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 805-8656
ALLISON HOCKING-ROBERTS LAT, ATC
Specialist/Technologist (Athletic Trainer)
8700 WATERTOWN PLANK RD
WAUWATOSA, WI 53226
Milwaukee County (414) 805-7179
STUART BURKART ATC, LAT
Specialist/Technologist (Athletic Trainer)
8700 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 805-7100
ALLISON SIGRIST DPT
Physical Therapist (Orthopedic)
8700 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 805-8656
CAROLYN GOESCH PT, DPT
Physical Therapist
8700 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 805-8656
MS. JUNEAU CLAIRE MCFADZEN ATC
Specialist/Technologist (Athletic Trainer)
8700 WATERTOWN PLANK RD
WAUWATOSA, WI 53226
Milwaukee County (414) 963-6900
JACOB PFEIFFER
Orthopaedic Surgery
8700 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 805-7100
JACOB COUILLARD
Specialist/Technologist (Athletic Trainer)
8700 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 777-7700

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 Andrew Clithero's NPI number?

The NPI number for Andrew Clithero is 1639528037. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Where is Andrew Clithero located?

Andrew Clithero practices at 8700 Watertown Plank Rd, Milwaukee, WI 53226. The listed phone number is (414) 955-0437.

What is Andrew Clithero's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sleep Medicine, with taxonomy code 207QS1201X.

Is Andrew Clithero enrolled in Medicare?

Yes. Andrew Clithero 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.

Is Andrew Clithero affiliated with any hospitals?

According to CMS data, Andrew Clithero is affiliated with Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Clithero was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.