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ETHAN CHRISTOPHER BASSETT M.D.
NPI 1710277769
Otolaryngology - Pediatric Otolaryngology in Milwaukee, WI

Active since April 12, 2011PECOS EnrolledAccepts Medicare Assignment
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 805-5580(414) 476-4701 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 11, 2026, Aug 7, 2026, Sep 6, 2022 and 3 more (6 updates tracked since 2017).

About Ethan Christopher Bassett M.d. NPPES

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

ETHAN CHRISTOPHER BASSETT M.D. (NPI 1710277769) is an individual pediatric otolaryngology provider in Milwaukee, Wisconsin, licensed in Wisconsin (87457-20) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (2011).

NPPES Registry Identity

NPI1710277769
Entity TypeIndividualMale
Primary Taxonomy207YP0228X
Provider Legal NameETHAN CHRISTOPHER BASSETTCredential: M.D.
Location Address9200 W WISCONSIN AVEMilwaukee, WI 53226-3522
Mailing Address9200 W Wisconsin AveMilwaukee, WI 53226-3522 · (414) 805-5580 · Fax (414) 476-4701
Phone(414) 805-5580
Fax(414) 476-4701
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2011
Enumeration DateApril 12, 2011
Last NPPES UpdateAugust 11, 20266 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1710277769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
License✔ Licensed in WI · 87457-20
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
9200 W WISCONSIN AVE, Milwaukee, WI 53226
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Other Identifiers 1

Medicaid1710277769WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., Aspirus 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 and accepts Medicare assignment

Ethan Christopher Bassett 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 ID648589051
PECOS Enrollment IDI20240212002506
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

5

Medicare enrollment records show Ethan Bassett reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Medical College Of Wisconsin, Inc.
0.2 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101
Fairview Express Care
276 mi
Pediatric Rehabilitation Medicine
9680 TAMARACK RD, SUITE 130
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1700235587 (612) 273-1172
Fairview Specialty Services
288 mi
Point of Service
1700 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
NPI 1912066218 (763) 525-9919
University Of Minnesota Health Clinics And Surgery Center Inc
291 mi
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
NPI 1003485004 (612) 273-8383
University Of Minnesota Physicians
292 mi
Multi-Specialty
720 WASHINGTON AVE SE STE 200
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,453 clinicians in this Medicare group
NPI 1477598118 (612) 672-7422

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

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.

TRACY BLAIR WANDTKE HERRMANN APNP, CNM
Advanced Practice Midwife
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-4777
DR. ZACHARY SMITH DO
Internal Medicine (Gastroenterology)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-6830
DR. COLLEEN ANN CROWE M.D., M.P.H.
Emergency Medicine
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6469
ROBERTO MEJIAS APNP
Nurse Practitioner (Pediatrics)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6600
MRS. ANNE E B LAKATOS APN-BC, APNP, RN
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6850
MRS. AMANDA M MANDERS APNP
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6850
KATHLEEN A WATERHOUSE-SKIBICKI CRNA
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-5951
ANDREA L BEQUEST PA
Physician Assistant (Medical)
9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-0350

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 Ethan Bassett's NPI number?

The NPI number for Ethan Bassett is 1710277769. It was assigned to this individual provider in the NPPES registry on April 12, 2011.

Where is Ethan Bassett located?

Ethan Bassett practices at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 805-5580.

What is Ethan Bassett's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is Ethan Bassett enrolled in Medicare?

Yes. Ethan Bassett 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 Ethan Bassett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Bassett reassigns Medicare benefits to 5 organizations: The Medical College Of Wisconsin, Inc. (Milwaukee, WI), Fairview Express Care (Woodbury, MN), Fairview Specialty Services (Saint Paul, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN) and University Of Minnesota Physicians (Minneapolis, MN). 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 Ethan Bassett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ethan Bassett accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners and 2 other insurers list Ethan Bassett 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 Ethan Bassett was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.