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JAMES A MEYER MD
NPI 1700998069
Pediatrics in Marshfield, WI

Active since August 31, 2006PECOS Enrolled
78.85/100
CMS Quality Rating
1000 N OAK AVE, MARSHFIELD, WI 54449(715) 387-5690 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James A Meyer Md NPPES

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

JAMES A MEYER MD (NPI 1700998069) is an individual pediatrics provider in Marshfield, Wisconsin, licensed in Wisconsin (25359) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700998069
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJAMES A MEYERCredential: MD
Location Address1000 N OAK AVEMarshfield, WI 54449-5777
Mailing Address1000 N Oak AveMarshfield, WI 54449-5777
Phone(715) 387-5690
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJanuary 26, 2024
NPPES CertifiedJanuary 26, 2024
✔ NPI 1700998069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 25359
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1000 N OAK AVE, Marshfield, WI 54449
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Other Identifiers 1

Medicaid30755200WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Sanford Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James A Meyer Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 James Meyer reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marshfield Clinic Inc
Same address
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
NPI 1952347981 (715) 387-5511
Mchs Hospitals Inc
Same address
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
NPI 1093221434 (715) 387-5511
Memorial Hospital, Inc
22 mi
Clinical Medical Laboratory
216 SUNSET PL, MEMORIAL HOSPITAL, INC
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1346239373 (Wisconsin)
  • 1,283 clinicians in this Medicare group
NPI 1679746747 (715) 743-3101
Lakeview Medical Center Inc Of Rice Lake
85 mi
Clinic/Center
806 2ND ST
Chetek, WI 54728
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
NPI 1659008605 (715) 924-2000
Flambeau Hospital Inc
89 mi
Clinic/Center
98 SHERRY AVE
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1700963048 (Wisconsin)
  • 1,351 clinicians in this Medicare group
NPI 1194317966 (715) 762-2484
Beaver Dam Community Hospitals Inc
102 mi
Family Medicine
180 GATEWAY DR
Waupun, WI 53963
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,447 clinicians in this Medicare group
NPI 1629374780 (920) 345-1306

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54449 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.

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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.68
Promoting Interoperability99
Improvement Activities40
Cost54.87

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.

Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims276 services$5.51 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims3,840 services$1.36 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.

ALISON RAE SAMPSON D.O.
Obstetrics & Gynecology
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-5161
TAMARA L. LEAHY NP
Nurse Practitioner
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (800) 782-8581
SAMANTHA ELAINE MOORE RD, CD, CDCES
Dietitian, Registered
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 389-7464
ROBERT BUNDY
Student in an Organized Health Care Education/Training Program
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-5511
EUGENE H. LARSON PA
Physician Assistant
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-5245
JAMES SKIBBA CRNA
Nurse Anesthetist, Certified Registered
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-7179
KENNETH E ENGELHART MD
Internal Medicine
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-5704
KRISTIN M GERNDT MD
Radiology (Vascular & Interventional Radiology)
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 389-3474

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 James Meyer's NPI number?

The NPI number for James Meyer is 1700998069. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is James Meyer located?

James Meyer practices at 1000 N Oak Ave, Marshfield, WI 54449. The listed phone number is (715) 387-5690.

What is James Meyer's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is James Meyer enrolled in Medicare?

Yes. James Meyer is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Meyer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Meyer reassigns Medicare benefits to 6 organizations: Marshfield Clinic Inc (Marshfield, WI), Mchs Hospitals Inc (Marshfield, WI), Memorial Hospital, Inc (Neillsville, WI), Lakeview Medical Center Inc Of Rice Lake (Chetek, WI), Flambeau Hospital Inc (Park Falls, 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 James Meyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Meyer accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Sanford Health Plan and Security Health Plan list James Meyer 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.

When was this NPI record last updated?

The NPPES record for James Meyer was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.