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

Q: 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.

Q: What is Andrew Clithero's specialty?

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

Q: 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 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.

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: October 25, 2026.

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Andrew Clithero reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ascension Medical Group-Southeast Wisconsin Inc

6.7 mi

Internal Medicine

400 W RIVER WOODS PKWY
Glendale, WI 53212

Reassigned Medicare billing, Wisconsin enrollment
1,343 clinicians in this Medicare group

NPI 1609881077 (414) 465-3000

Columbia St. Mary's Hospital Milwaukee Inc

7.2 mi

Multi-Specialty

2323 N LAKE DR
Milwaukee, WI 53211

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
856 clinicians in this Medicare group

NPI 1225071491 (414) 585-1000

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

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

Quality

77.88

Promoting Interoperability

Improvement Activities

Cost

74.38

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

KENSINGTON M NAZE MS, LAT, ATC

Specialist/Technologist (Athletic Trainer)

8700 WATERTOWN PLANK RD
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6655

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 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.

Which organizations bill Medicare for Andrew Clithero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Clithero reassigns Medicare benefits to 2 organizations: Ascension Medical Group-Southeast Wisconsin Inc (Glendale, WI) and Columbia St. Mary's Hospital Milwaukee Inc (Milwaukee, WI). 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 Andrew Clithero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 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.