CRAIG BATLEY DO
NPI 1679574453
Family Medicine in Berlin, WI

Active since August 03, 2005PECOS EnrolledAccepts Medicare Assignment
W832 HWY 91, SUITE 3, BERLIN, WI 54923(920) 361-6400(920) 361-6407 Get Directions Write a Review

NPPES record last updated: October 24, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Craig Batley Do NPPES

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

CRAIG BATLEY DO (NPI 1679574453) is an individual family medicine provider in Berlin, Wisconsin, licensed in Wisconsin (45768-021) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2000).

NPPES Registry Identity

NPI1679574453
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCRAIG BATLEYCredential: DO
Location AddressW832 HWY 91, SUITE 3Berlin, WI 54923
Mailing AddressW832 Hwy 91, Suite 3Berlin, WI 54923 · (920) 361-6400 · Fax (920) 361-6407
Fax(920) 361-6407
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2000
Enumeration DateAugust 3, 2005
Last NPPES UpdateOctober 24, 2014
NPI 1679574453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 45768-021
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedSurgeryTaxonomy 208600000X · License 45768-021 (WI)
W832 HWY 91, Berlin, WI 54923

Other Identifiers 3

Medicaid43508000WI
Medicare UPINH47624WI
Medicare PIN008400416WI

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

Craig Batley Do 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 ID1951399450
PECOS Enrollment IDI20040504000504
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 7

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.
200 services120 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
146 services84 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.
79 services79 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services27 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.
25 services25 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.
24 services24 patients

Hospital Affiliations CMS Care Compare 4

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Thedacare Medical Center - Wild Rose

Critical Access Hospitals · Wild Rose, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521303
Location601 Grove AveWild Rose, WI 54984 · Waushara County
Emergency services

Thedacare Medical Center-Waupaca

Critical Access Hospitals · Waupaca, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521334
Location800 Riverside DriveWaupaca, WI 54981 · Waupaca County
Emergency services Birthing friendly

Berlin Memorial Hospital

Critical Access Hospitals · Berlin, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521355
Location225 Memorial DriveBerlin, WI 54923 · Green Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54923 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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
5 suppliers38 claims75 services$5.19 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers15 claims18 services$1.01 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 2

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

Family Medicine
W832 HWY 91
BERLIN, WI 54923
Nurse Practitioner (Family)
W832 HWY 91
BERLIN, WI 54923

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 Craig Batley's NPI number?

The NPI number for Craig Batley is 1679574453. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Where is Craig Batley located?

Craig Batley practices at W832 Hwy 91 Suite 3, Berlin, WI 54923. The listed phone number is (920) 361-6400.

What is Craig Batley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Craig Batley enrolled in Medicare?

Yes. Craig Batley 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 Craig Batley accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Craig Batley 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 Craig Batley affiliated with any hospitals?

According to CMS data, Craig Batley is affiliated with Thedacare Regional Med Ctr - Neenah, Thedacare Medical Center - Wild Rose, Thedacare Medical Center-Waupaca and Berlin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Craig Batley was last updated on October 24, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.