DR. EDWARD C CHANG MD
NPI 1669461141
Internal Medicine in Milwaukee, WI

Active since October 18, 2005PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
3201 S 16TH ST, ROOM 1000, MILWAUKEE, WI 53215(414) 389-3180(414) 645-8240 Get Directions Write a Review

NPPES record last updated: June 14, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Edward C Chang Md NPPES

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

DR. EDWARD C CHANG MD (NPI 1669461141) is an individual internal medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (39339) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1669461141
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. EDWARD C CHANGCredential: MD
Location Address3201 S 16TH ST, ROOM 1000Milwaukee, WI 53215-4537
Mailing Address3201 S 16th St, Room 1000Milwaukee, WI 53215-4537 · (414) 389-3180 · Fax (414) 645-8240
Fax(414) 645-8240
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateOctober 18, 2005
Last NPPES UpdateJune 14, 2012
NPI 1669461141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WI · 39339
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3201 S 16TH ST, Milwaukee, WI 53215

Other Identifiers 3

Medicaid32558900WI
Medicare UPING91961WI
Medicare ID-Type Unspecified732000012WI

Accepted 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

Dr. Edward C Chang 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 ID5395826747
PECOS Enrollment IDI20080111000332
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 6

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 with moderate level of decision making, if using time, 30 minutes or more 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.
268 services86 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
73 services50 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.
69 services69 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
31 services30 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
29 services28 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
20 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520078
Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County
Emergency services

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 53215 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
$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

Referred Medical Equipment & Supplies CMS DME claims 3

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 suppliers26 claims62 services$5.63 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims13 services$1.07 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers24 claims24 services$10.69 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.

Psychiatry & Neurology (Neurology)
3201 S 16TH ST, SUITE 1019
MILWAUKEE, WI 53215
Psychiatry & Neurology (Neurology)
3201 S 16TH ST, SUITE 200
MILWAUKEE, WI 53215
Internal Medicine (Pulmonary Disease)
3201 S 16TH ST, 2015
MILWAUKEE, WI 53215
Physician Assistant
3201 S 16TH ST, SUITE 100
MILWAUKEE, WI 53215
Internal Medicine (Cardiovascular Disease)
3201 S 16TH ST
MILWAUKEE, WI 53215
Internal Medicine
3201 S 16TH ST, ROOM 1000
MILWAUKEE, WI 53215
Family Medicine
3201 S 16TH ST, SUITE 1010
MILWAUKEE, WI 53215
Physical Medicine & Rehabilitation
3201 S 16TH ST, 800
MILWAUKEE, WI 53215

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 Edward Chang's NPI number?

The NPI number for Edward Chang is 1669461141. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Edward Chang located?

Edward Chang practices at 3201 S 16th St Room 1000, Milwaukee, WI 53215. The listed phone number is (414) 389-3180.

What is Edward Chang's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Edward Chang enrolled in Medicare?

Yes. Edward Chang 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 Edward Chang accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Edward Chang 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 Edward Chang affiliated with any hospitals?

According to CMS data, Edward Chang is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension St Francis Hospital and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Edward Chang was last updated on June 14, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.