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DR. CHRISTOPHER LEE WISTROM D.O.
NPI 1700041886
Emergency Medicine in Janesville, WI

Active since July 28, 2008PECOS EnrolledAccepts Medicare Assignment
1000 MINERAL POINT AVE, JANESVILLE, WI 53548(608) 756-6611(608) 756-6177 Get Directions Write a Review

NPPES record last updated: August 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Christopher Lee Wistrom D.o. NPPES

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

DR. CHRISTOPHER LEE WISTROM D.O. (NPI 1700041886) is an individual emergency medicine provider in Janesville, Wisconsin, licensed in Wisconsin (57145-21) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Fhn Memorial Hospital, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2008).

NPPES Registry Identity

NPI1700041886
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. CHRISTOPHER LEE WISTROMCredential: D.O.
Location Address1000 MINERAL POINT AVEJanesville, WI 53548-2940
Mailing Address1000 Mineral Point AveJanesville, WI 53548-2940 · (608) 756-6611 · Fax (608) 756-6177
Phone(608) 756-6611
Fax(608) 756-6177
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2008
Enumeration DateJuly 28, 2008
Last NPPES UpdateAugust 22, 2013
✔ NPI 1700041886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in WI · 57145-21✔ Licensed in MI · 5101017770
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1000 MINERAL POINT AVE, Janesville, WI 53548
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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

Dr. Christopher Lee Wistrom D.o. 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 ID2365613221
PECOS Enrollment IDI20120615000453, I20140428000631
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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
17 services17 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
14 services14 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Fhn Memorial Hospital

Acute Care Hospitals · Freeport, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140160
Location1045 West Stephenson StreetFreeport, IL 61032 · Stephenson County
Emergency services Birthing friendly

Javon Bea Hospital

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140239
Location8201 E Riverside BlvdRockford, IL 61114 · Winnebago County
Emergency services Birthing friendly

Mercy Harvard Hospital

Critical Access Hospitals · Harvard, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141335
Location901 S Grant StreetHarvard, IL 60033 · Mc Henry County
Emergency services

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

Mercy Walworth Hospital & Medical Center

Critical Access Hospitals · Lake Geneva, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521357
LocationN2950 State Road 67Lake Geneva, WI 53147 · Walworth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53548 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

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$5.47 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 20

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

BENJAMIN C. MILLER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6508
KARINA LAURA PAULIUS QUINN MD
Plastic Surgery
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6000
ALESIA L DRAKE DPT, PT
Physical Therapist
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6842
PAULINE R CASS PHARMD
Pharmacist
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6000
KAREN SAUNDERS OT
Occupational Therapist
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6000
DR. MERLE S RUST MD
Neurological Surgery
1000 MINERAL POINT AVE, MERCY WEST NEUROSURGERY
JANESVILLE, WI 53548
Rock County (608) 756-6826
DR. MICHAEL V COOGAN MD
Emergency Medicine (Medical Toxicology)
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6000
CHRISTOPHER B GOODAVISH PA
Physician Assistant
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6868

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 Christopher Wistrom's NPI number?

The NPI number for Christopher Wistrom is 1700041886. It was assigned to this individual provider in the NPPES registry on July 28, 2008.

Where is Christopher Wistrom located?

Christopher Wistrom practices at 1000 Mineral Point Ave, Janesville, WI 53548. The listed phone number is (608) 756-6611.

What is Christopher Wistrom's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Christopher Wistrom enrolled in Medicare?

Yes. Christopher Wistrom 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.

Is Christopher Wistrom affiliated with any hospitals?

According to CMS data, Christopher Wistrom is affiliated with Fhn Memorial Hospital, Javon Bea Hospital, Mercy Harvard Hospital, Mercy Health System Corp and Mercy Walworth Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Christopher Wistrom was last updated on August 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.