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KIMBERLY A LAMACK M.D.
NPI 1679531958
Internal Medicine - Endocrinology, Diabetes & Metabolism in Wauwatosa, WI

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
201 N MAYFAIR ROAD, WAUWATOSA, WI 53226(414) 771-8228(414) 256-2483 Get Directions Write a Review

NPPES record last updated: March 12, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly A Lamack M.d. NPPES

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

KIMBERLY A LAMACK M.D. (NPI 1679531958) is an individual endocrinology, diabetes & metabolism provider in Wauwatosa, Wisconsin, licensed in Wisconsin (48723) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Ascension St Francis Hospital, and is a graduate of University Of Wisconsin School Of Medicine (2003).

NPPES Registry Identity

NPI1679531958
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameKIMBERLY A LAMACKCredential: M.D.
Location Address201 N MAYFAIR ROADWauwatosa, WI 53226-4216
Mailing Address201 N Mayfair RoadWauwatosa, WI 53226-4216 · (414) 771-8228 · Fax (414) 256-2483
Phone(414) 771-8228
Fax(414) 256-2483
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2003
Enumeration DateMay 3, 2006
Last NPPES UpdateMarch 12, 2012
✔ NPI 1679531958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in WI · 48723✔ Licensed in MN · 102571✔ Licensed in MN · 49002
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
201 N MAYFAIR ROAD, Wauwatosa, WI 53226
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Other Identifiers 6

Medicare UPINI60838
Medicaid35320400WI
Medicaid590060000MN
Medicare PIN460000286MN
OtherP00388222MN · Railroad Medicare
MedicaidENROLLEDIA

Accepted Insurance

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

Kimberly A Lamack 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 ID5698779668
PECOS Enrollment IDI20090709000529
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 5

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 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.
149 services89 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
84 services37 patients
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.
84 services66 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
51 services37 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
26 services14 patients

Hospital Affiliations CMS Care Compare 2

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

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 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
$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 5

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers18 claims171 services$18.52 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers18 claims400 services$2.38 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
26 suppliers75 claims383 services$6.11 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers22 claims49 services$1.16 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
12 suppliers204 claims207 services$180.33 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 4

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

MARGARET H CARR MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
201 N MAYFAIR ROAD
WAUWATOSA, WI 53226
Milwaukee County (414) 259-7480
DENNIS WORTHINGTON MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
201 N MAYFAIR ROAD
WAUWATOSA, WI 53226
Milwaukee County (414) 259-7480
MENACHEM H GRAUPE MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
201 N MAYFAIR ROAD
WAUWATOSA, WI 53226
Milwaukee County (414) 259-7480
JOHN E DANIELS MD
Internal Medicine (Pulmonary Disease)
201 N MAYFAIR ROAD
WAUWATOSA, WI 53226
Milwaukee County (414) 771-8228

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 Kimberly Lamack's NPI number?

The NPI number for Kimberly Lamack is 1679531958. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Kimberly Lamack located?

Kimberly Lamack practices at 201 N Mayfair Road, Wauwatosa, WI 53226. The listed phone number is (414) 771-8228.

What is Kimberly Lamack's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Kimberly Lamack enrolled in Medicare?

Yes. Kimberly Lamack 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 Kimberly Lamack accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Kimberly Lamack 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 Kimberly Lamack affiliated with any hospitals?

According to CMS data, Kimberly Lamack is affiliated with Ascension St Francis Hospital and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Lamack was last updated on March 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.