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NICHOLAS EDWARD COOROUGH M.D.
NPI 1689010118
Surgery in Green Bay, WI

Active since May 10, 2013PECOS EnrolledAccepts Medicare Assignment
720 S VANBUREN ST, SUITE 201, GREEN BAY, WI 54301(920) 433-7488(920) 433-7439 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 28, 2020, Nov 8, 2018 (2 updates tracked since 2018).

About Nicholas Edward Coorough M.d. NPPES

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

NICHOLAS EDWARD COOROUGH M.D. (NPI 1689010118) is an individual surgery provider in Green Bay, Wisconsin, licensed in Wisconsin (62822-20) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1689010118
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameNICHOLAS EDWARD COOROUGHCredential: M.D.
Location Address720 S VANBUREN ST, SUITE 201Green Bay, WI 54301-3534
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7226 · Fax (920) 445-7229
Phone(920) 433-7488
Fax(920) 433-7439
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2013
Enumeration DateMay 10, 2013
Last NPPES UpdateDecember 28, 20202 updates tracked since enumeration
NPPES CertifiedDecember 28, 2020
✔ NPI 1689010118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WI · 62822-20
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
720 S VANBUREN ST, Green Bay, WI 54301
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Secondary Practice Locations 3

Location 1744 S Webster AveGreen Bay, WI 54301-3505 · Phone (920) 445-7222 · Fax (920) 445-7289
Location 2820 Arbutus AveOconto, WI 54153-2004 · Phone (920) 835-1100 · Fax (920) 835-1099
Location 31836 South AveLA Crosse, WI 54601-5429 · Phone (608) 775-3349 · Fax (608) 775-1548

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Nicholas Edward Coorough 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 ID4385967298
PECOS Enrollment IDI20180906002468
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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 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.
16 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services12 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

VICTOR ADALBERT GERALDEZ DE VILLA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
720 S VANBUREN ST, SUITE 104
GREEN BAY, WI 54301
Brown County (920) 433-6050
SHIRLEY M JEAN-BAPTISTE APNP
Nurse Practitioner (Family)
720 S VANBUREN ST
GREEN BAY, WI 54301
Brown County (920) 433-7488
BAILEY E HAVLOVITZ PA-C
Physician Assistant
720 S VANBUREN ST
GREEN BAY, WI 54301
Brown County (920) 468-3444
CHERYL L BAILEY M.D.
Obstetrics & Gynecology
720 S VANBUREN ST, SUITE 101
GREEN BAY, WI 54301
Brown County (920) 433-3420
BELLIN MEMORIAL HOSPITAL INC
Surgery
720 S VANBUREN ST, SUITE 201
GREEN BAY, WI 54301
Brown County (920) 433-7488
RENEE R SMITH CNM,APNP
Advanced Practice Midwife
720 S VANBUREN ST, SUITE 101
GREEN BAY, WI 54301
Brown County (920) 433-3420
MRS. SANDRA RENEE PELNAR C.N.M., W.H.N.P.
Advanced Practice Midwife
720 S VANBUREN ST, SUITE 101
GREEN BAY, WI 54301
Brown County (920) 433-3420
CARMEN D. ANDERSON APNP
Nurse Practitioner (Family)
720 S VANBUREN ST, SUITE 201
GREEN BAY, WI 54301
Brown County (920) 433-7488

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 Nicholas Coorough's NPI number?

The NPI number for Nicholas Coorough is 1689010118. It was assigned to this individual provider in the NPPES registry on May 10, 2013.

Where is Nicholas Coorough located?

Nicholas Coorough practices at 720 S Vanburen St Suite 201, Green Bay, WI 54301. The listed phone number is (920) 433-7488.

What is Nicholas Coorough's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nicholas Coorough enrolled in Medicare?

Yes. Nicholas Coorough 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 Nicholas Coorough accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Nicholas Coorough 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 Nicholas Coorough affiliated with any hospitals?

According to CMS data, Nicholas Coorough is affiliated with Bellin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Coorough was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.