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DR. SUSHMA THAPPETA M.D.
NPI 1720253370
Pediatrics in Marshfield, WI

Active since April 24, 2008PECOS Enrolled
1000 N OAK AVE, MARSHFIELD, WI 54449(715) 387-5267(715) 389-3142 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Sushma Thappeta M.d. NPPES

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

DR. SUSHMA THAPPETA M.D. (NPI 1720253370) is an individual pediatrics provider in Marshfield, Wisconsin, licensed in Wisconsin (50994) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720253370
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SUSHMA THAPPETACredential: M.D.
Location Address1000 N OAK AVEMarshfield, WI 54449-5703
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5267 · Fax (715) 389-3142
Phone(715) 387-5267
Fax(715) 389-3142
Sole ProprietorNo
Enumeration DateApril 24, 2008
Last NPPES UpdateOctober 21, 2020
NPPES CertifiedOctober 21, 2020
✔ NPI 1720253370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 50994
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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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sushma Thappeta M.d. 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

2

Medicare enrollment records show Sushma Thappeta reassigns Medicare billing to 2 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
  • 2,476 clinicians in this Medicare group
NPI 1093221434 (715) 387-5511

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.

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 Sushma Thappeta's NPI number?

The NPI number for Sushma Thappeta is 1720253370. It was assigned to this individual provider in the NPPES registry on April 24, 2008.

Where is Sushma Thappeta located?

Sushma Thappeta practices at 1000 N Oak Ave, Marshfield, WI 54449. The listed phone number is (715) 387-5267.

What is Sushma Thappeta's specialty?

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

Is Sushma Thappeta enrolled in Medicare?

Yes. Sushma Thappeta is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sushma Thappeta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sushma Thappeta reassigns Medicare benefits to 2 organizations: Marshfield Clinic Inc (Marshfield, WI) and Mchs Hospitals Inc (Marshfield, WI). 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 Sushma Thappeta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sushma Thappeta accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and Sanford Health Plan list Sushma Thappeta 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 Sushma Thappeta was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.