ANDREW GOELZ M.D.
NPI 1689107815
Surgery in Milwaukee, WI

Active since April 05, 2017PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
3070 N 51ST ST, MILWAUKEE, WI 53210(414) 874-4870 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Andrew Goelz M.d. NPPES

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

ANDREW GOELZ M.D. (NPI 1689107815) is an individual surgery provider in Milwaukee, Wisconsin, licensed in Wisconsin (69922) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1689107815
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameANDREW GOELZCredential: M.D.
Location Address3070 N 51ST STMilwaukee, WI 53210-1645
Mailing Address3070 N 51st StMilwaukee, WI 53210-1645 · (414) 874-4870
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 5, 2017
Last NPPES UpdateJune 6, 2022
NPPES CertifiedJune 6, 2022
✔ NPI 1689107815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WI · 69922
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.
3070 N 51ST ST, Milwaukee, WI 53210

Accepted Insurance

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 Goelz 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 ID9830435122
PECOS Enrollment IDI20220615000523
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

2

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

Internal Medicine
400 W RIVER WOODS PKWY
Glendale, WI 53212
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
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

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 2

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 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.
19 services12 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.
17 services13 patients

Hospital Affiliations CMS Care Compare 2

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 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 53210 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.

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

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.

Surgery
3070 N 51ST ST
MILWAUKEE, WI 53210
Physician Assistant (Medical)
3070 N 51ST ST, #406
MILWAUKEE, WI 53210
Surgery
3070 N 51ST ST, STE 405
MILWAUKEE, WI 53210
Internal Medicine (Pulmonary Disease)
3070 N 51ST ST, SUITE 402
MILWAUKEE, WI 53210
Pediatrics (Neonatal-Perinatal Medicine)
3070 N 51ST ST, STE P309
MILWAUKEE, WI 53210
Durable Medical Equipment & Medical Supplies
3070 N 51ST ST
MILWAUKEE, WI 53210
Internal Medicine (Interventional Cardiology)
3070 N 51ST ST, SUITE 106
MILWAUKEE, WI 53210
Pediatrics (Neonatal-Perinatal Medicine)
3070 N 51ST ST, P309
MILWAUKEE, WI 53210

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 Goelz's NPI number?

The NPI number for Andrew Goelz is 1689107815. It was assigned to this individual provider in the NPPES registry on April 5, 2017.

Where is Andrew Goelz located?

Andrew Goelz practices at 3070 N 51st St, Milwaukee, WI 53210. The listed phone number is (414) 874-4870.

What is Andrew Goelz's specialty?

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

Is Andrew Goelz enrolled in Medicare?

Yes. Andrew Goelz 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 Goelz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Goelz 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 Goelz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Goelz accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Andrew Goelz 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 Andrew Goelz affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Andrew Goelz was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.