MRS. EILEEN THERESE REILLY MD
NPI 1700865573
Hospitalist in Waupun, WI

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment
620 W BROWN ST, WAUPUN, WI 53963(920) 324-5581 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2025, Oct 20, 2023, Apr 18, 2022 and 5 more (8 updates tracked since 2019).

About Mrs. Eileen Therese Reilly Md NPPES

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

MRS. EILEEN THERESE REILLY MD (NPI 1700865573) is an individual hospitalist provider in Waupun, Wisconsin, licensed in Wisconsin (71981-20) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Manitowoc County, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1700865573
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameMRS. EILEEN THERESE REILLYCredential: MD
Location Address620 W BROWN STWaupun, WI 53963-1702
Mailing AddressAttn: Ssm Health Fond Du Lac Regional Clinic, 1808 W Beltline HwyMadison, WI 53713-2334 · (920) 926-8343
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 11, 2006
Last NPPES UpdateJuly 16, 20258 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
NPI 1700865573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in WI · 71981-20 Licensed in CA · A198590
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 71981-20 (WI)
620 W BROWN ST, Waupun, WI 53963

Secondary Practice Locations 3

Location 13200 E Racine StJanesville, WI 53546-2343 · Phone (608) 371-8000 · Fax (608) 371-8945
Location 2845 Parkside StRipon, WI 54971-8505 · Phone (920) 748-3101
Location 3515 22nd AveMonroe, WI 53566-1569 · Phone (608) 324-2000

Other Identifiers 1

Medicaid1700865573WI

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

Mrs. Eileen Therese Reilly Md 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 ID4587665484
PECOS Enrollment IDI20200214000494
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
187 services88 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
100 services95 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.
59 services57 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.
36 services35 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.
29 services16 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
25 services25 patients

Hospital Affiliations CMS Care Compare 5

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

Aurora Medical Ctr Manitowoc County

Acute Care Hospitals · Two Rivers, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520034
Location5000 Memorial DriveTwo Rivers, WI 54241 · Manitowoc County
Emergency services Birthing friendly

Beloit Health System

Acute Care Hospitals · Beloit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520100
Location1969 W Hart RdBeloit, WI 53511 · Rock County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Janesville

Acute Care Hospitals · Janesville, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520208
Location3400 East Racine StreetJanesville, WI 53546 · Rock County
Emergency services Birthing friendly

Ripon Medical Center

Critical Access Hospitals · Ripon, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521321
Location845 Parkside StRipon, WI 54971 · Fond Du Lac County
Emergency services

Waupun Memorial Hospital

Critical Access Hospitals · Waupun, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521327
Location620 W Brown StWaupun, WI 53963 · Fond Du Lac County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53963 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$21.32 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
3 suppliers19 claims19 services$116.31 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.

Physical Therapist
620 W BROWN ST
WAUPUN, WI 53963
Counselor (Mental Health)
620 W BROWN ST
WAUPUN, WI 53963
Nurse Anesthetist, Certified Registered
620 W BROWN ST
WAUPUN, WI 53963
Physical Therapist
620 W BROWN ST
WAUPUN, WI 53963
Social Worker (Clinical)
620 W BROWN ST
WAUPUN, WI 53963
Physical Therapist
620 W BROWN ST
WAUPUN, WI 53963
Family Medicine
620 W BROWN ST
WAUPUN, WI 53963
Physical Therapist
620 W BROWN ST
WAUPUN, WI 53963

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 Eileen Reilly's NPI number?

The NPI number for Eileen Reilly is 1700865573. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Eileen Reilly located?

Eileen Reilly practices at 620 W Brown St, Waupun, WI 53963. The listed phone number is (920) 324-5581.

What is Eileen Reilly's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Eileen Reilly enrolled in Medicare?

Yes. Eileen Reilly 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 Eileen Reilly accept?

Health plans from CareSource (Common Ground Healthcare) and Oscar Insurance Company list Eileen Reilly 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 Eileen Reilly affiliated with any hospitals?

According to CMS data, Eileen Reilly is affiliated with Aurora Medical Ctr Manitowoc County, Beloit Health System, Ssm Health St Mary's Hospital - Janesville, Ripon Medical Center and Waupun Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Eileen Reilly was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.