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JOHN E LAMBERT DO
NPI 1710121215
Family Medicine in Beaver Dam, WI

Active since April 28, 2009PECOS EnrolledAccepts Medicare Assignment
705 S UNIVERSITY AVE, SUITE 200, BEAVER DAM, WI 53916(920) 887-9272(920) 885-4752 Get Directions Write a Review

NPPES record last updated: February 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John E Lambert Do NPPES

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

JOHN E LAMBERT DO (NPI 1710121215) is an individual family medicine provider in Beaver Dam, Wisconsin, licensed in Wisconsin (54852) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Beaver Dam (mmc-bd), and is a graduate of West Virginia School Of Osteopathic Medicine (2009).

NPPES Registry Identity

NPI1710121215
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN E LAMBERTCredential: DO
Location Address705 S UNIVERSITY AVE, SUITE 200Beaver Dam, WI 53916-3053
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(920) 887-9272
Fax(920) 885-4752
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2009
Enumeration DateApril 28, 2009
Last NPPES UpdateFebruary 18, 2014
✔ NPI 1710121215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 54852
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
705 S UNIVERSITY AVE, Beaver Dam, WI 53916
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.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

John E Lambert Do 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 ID4183870405
PECOS Enrollment IDI20120801000839
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 9

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
237 services154 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.
177 services142 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.
137 services89 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
65 services65 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
42 services38 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
37 services34 patients

Hospital Affiliations CMS Care Compare 3

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

Marshfield Medical Center - Beaver Dam (mmc-Bd)

Acute Care Hospitals · Beaver Dam, WI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520076
Location707 S University AveBeaver Dam, WI 53916 · Dodge County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Columbus Community Hospital

Critical Access Hospitals · Columbus, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521338
Location1515 Park AveColumbus, WI 53925 · Columbia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53916 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 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers39 claims103 services$6.17 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers14 claims14 services$1.15 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
1 supplier18 claims18 services$117.46 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
6 suppliers44 claims45 services$180.05 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier18 claims18 services$35.98 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.

GEORGE E DAVIS MD
Ophthalmology
705 S UNIVERSITY AVE, SUITE 100
BEAVER DAM, WI 53916
Dodge County (920) 887-1151
DEAN HEALTH SYSTEMS, INC.
Durable Medical Equipment & Medical Supplies
705 S UNIVERSITY AVE, STE 500
BEAVER DAM, WI 53916
Dodge County (920) 887-3102
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC
Durable Medical Equipment & Medical Supplies
705 S UNIVERSITY AVE, SUITE 200
BEAVER DAM, WI 53916
Dodge County (920) 887-9272
DR. WILLIAM HENRY BULL V MD
Internal Medicine
705 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Dodge County (920) 887-9272
MARSHLAND PHARMACIES INC
Pharmacy (Community/Retail Pharmacy)
705 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Dodge County (920) 356-0040
LYNN R SWIGGUM A.T.C., L.A.T.
Specialist
705 S UNIVERSITY AVE, SUITE 150
BEAVER DAM, WI 53916
Dodge County (920) 885-2663
SUSAN LORRAINE SUTTER R.PH.
Pharmacist
705 S UNIVERSITY AVE, SUITE 180
BEAVER DAM, WI 53916
Dodge County (920) 356-0040
WILSON H LUY TAN, MD LTD
Psychiatry & Neurology (Neurology)
705 S UNIVERSITY AVE, SUITE 380
BEAVER DAM, WI 53916
Dodge County (920) 887-3460

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 John Lambert's NPI number?

The NPI number for John Lambert is 1710121215. It was assigned to this individual provider in the NPPES registry on April 28, 2009.

Where is John Lambert located?

John Lambert practices at 705 S University Ave Suite 200, Beaver Dam, WI 53916. The listed phone number is (920) 887-9272.

What is John Lambert's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Lambert enrolled in Medicare?

Yes. John Lambert 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 John Lambert accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list John Lambert 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 John Lambert affiliated with any hospitals?

According to CMS data, John Lambert is affiliated with Marshfield Medical Center - Beaver Dam (mmc-Bd), University Of Wi Hospitals & Clinics Authority and Columbus Community Hospital.

When was this NPI record last updated?

The NPPES record for John Lambert was last updated on February 18, 2014. 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.