JUSTIN MATTHEW ASQUITH M.D.
NPI 1699031138
Internal Medicine - Hematology & Oncology in Wausau, WI

Active since April 10, 2012PECOS EnrolledAccepts Medicare Assignment
90.59/100
CMS Quality Rating
215 N 28TH AVE, WAUSAU, WI 54401(715) 847-2866 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 3, 2023, May 17, 2016 (2 updates tracked since 2016).

About Justin Matthew Asquith M.d. NPPES

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

JUSTIN MATTHEW ASQUITH M.D. (NPI 1699031138) is an individual hematology & oncology provider in Wausau, Wisconsin, licensed in Wisconsin (73499-20) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1699031138
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameJUSTIN MATTHEW ASQUITHCredential: M.D.
Location Address215 N 28TH AVEWausau, WI 54401-4100
Mailing Address215 N 28th AveWausau, WI 54401-4100 · (715) 847-2866
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 10, 2012
Last NPPES UpdateMarch 3, 20232 updates tracked since enumeration
NPPES CertifiedMarch 3, 2023
✔ NPI 1699031138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in WI · 73499-20
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35124144 (OH)
215 N 28TH AVE, Wausau, WI 54401

Secondary Practice Location 1

Location 1410 W 10th AveColumbus, OH 43210-1240 · Phone (614) 293-7499 · Fax (614) 366-2360

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

Justin Matthew Asquith 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 ID1052603636
PECOS Enrollment IDI20200925001250
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

6

Medicare enrollment records show Justin Asquith reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
215 N 28TH AVE
Wausau, WI 54401
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin
  • Also billed through NPI 1821151366 (Wisconsin)
  • 321 clinicians in this Medicare group
Clinic/Center
2720 PLAZA DR, SUITE 2200
Wausau, WI 54401
  • Reassigned Medicare billing, Wisconsin enrollment
  • 633 clinicians in this Medicare group
Podiatric
3200 WESTHILL DR STE 2200
Wausau, WI 54401
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Aspirus Riverview Hospital & Clinics Inc
  • 397 clinicians in this Medicare group
Rural Health
729 PINE ST
Athens, WI 54411
  • Reassigned Medicare billing, Wisconsin enrollment
  • 376 clinicians in this Medicare group
Clinic/Center
1660 SUE ALAN DR
Wittenberg, WI 54499
  • Reassigned Medicare billing, Wisconsin enrollment
  • 935 clinicians in this Medicare group
Clinic/Center
209 PRENTICE STREET NORTH
Stevens Point, WI 54481
  • Reassigned Medicare billing, Wisconsin enrollment
  • 619 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 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 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.
426 services143 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.
202 services132 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.
52 services48 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
42 services42 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
18 services11 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Aspirus Stevens Point Hospital & Clinics, Inc.

Acute Care Hospitals · Stevens Point, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520002
Location900 Illinois AveStevens Point, WI 54481 · Portage County
Emergency services Birthing friendly

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Aspirus Riverview Hospital & Clinics Inc

Acute Care Hospitals · Wisconsin Rapids, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520033
Location410 Dewey StWisconsin Rapids, WI 54495 · Wood County
Emergency services

Aspirus Merrill Hospital

Critical Access Hospitals · Merrill, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521339
Location601 S Center AveMerrill, WI 54452 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
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.

90.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.26
Promoting Interoperability100
Improvement Activities40
Cost67.03

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$17.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$91.11 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers12 claims1,106 services$0.95 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 15

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

Internal Medicine (Hematology & Oncology)
215 N 28TH AVE
WAUSAU, WI 54401
Internal Medicine (Hematology & Oncology)
215 N 28TH AVE
WAUSAU, WI 54401
Clinic/Center
215 N 28TH AVE
WAUSAU, WI 54401
Pharmacist
215 N 28TH AVE
WAUSAU, WI 54401
Clinical Nurse Specialist (Adult Health)
215 N 28TH AVE
WAUSAU, WI 54401
Pharmacist
215 N 28TH AVE
WAUSAU, WI 54401
Nurse Practitioner
215 N 28TH AVE
WAUSAU, WI 54401
Nurse Practitioner (Adult Health)
215 N 28TH AVE
WAUSAU, WI 54401

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 Justin Asquith's NPI number?

The NPI number for Justin Asquith is 1699031138. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Justin Asquith located?

Justin Asquith practices at 215 N 28th Ave, Wausau, WI 54401. The listed phone number is (715) 847-2866.

What is Justin Asquith's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Justin Asquith enrolled in Medicare?

Yes. Justin Asquith 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 Justin Asquith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Asquith reassigns Medicare benefits to 6 organizations: Langlade Memorial Hospital Hotel Dieu Of St Joseph (Wausau, WI), Aspirus Wausau Hospital Inc (Wausau, WI), Aspirus Medical Group, Inc. (Wausau, WI), Aspirus Medford Hospital & Clinics, Inc. (Athens, WI), Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Wittenberg, WI) and 1 more organization, listed in the Medicare section above. 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 Justin Asquith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Asquith accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Quartz and Security Health Plan list Justin Asquith 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 Justin Asquith affiliated with any hospitals?

According to CMS data, Justin Asquith is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., Aspirus Rhinelander Hospital, Aspirus Wausau Hospital, Aspirus Riverview Hospital & Clinics Inc and Aspirus Merrill Hospital.

When was this NPI record last updated?

The NPPES record for Justin Asquith was last updated on March 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.