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BENJAMIN J HACKETT MD
NPI 1730115932
Orthopaedic Surgery in Wausau, WI

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
85.41/100
CMS Quality Rating
225000 HUMMINGBIRD RD STE 100, WAUSAU, WI 54401(715) 359-6442(715) 393-0390 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 17, 2021, May 20, 2021, Apr 21, 2020 (3 updates tracked since 2020).

About Benjamin J Hackett Md NPPES

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

BENJAMIN J HACKETT MD (NPI 1730115932) is an individual orthopaedic surgery provider in Wausau, Wisconsin, licensed in Wisconsin (50024-20) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and is a graduate of Medical College Of Wisconsin (2001).

NPPES Registry Identity

NPI1730115932
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameBENJAMIN J HACKETTCredential: MD
Location Address225000 HUMMINGBIRD RD STE 100Wausau, WI 54401-2950
Mailing Address225000 Hummingbird Rd Ste 100Wausau, WI 54401-2950 · (715) 359-6442 · Fax (715) 393-0390
Phone(715) 359-6442
Fax(715) 393-0390
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2001
Enumeration DateJune 23, 2006
Last NPPES UpdateJune 17, 20213 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
✔ NPI 1730115932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in WI · 50024-20
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedSpecialistTaxonomy 174400000X · License 102356 (MN)
Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License 50024 (WI)
225000 HUMMINGBIRD RD STE 100, Wausau, WI 54401
Open in Google Maps ↗

Other Identifiers 1

Other102356MN · Temp License

Accepted Insurance

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

Benjamin J Hackett 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 ID7810990421
PECOS Enrollment IDI20070828000210
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 11

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.

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.
58 services40 patients
X-ray of middle and lower spine, 2 views 72080
An X-ray of the middle and lower spine, or 2-view lumbar spine X-ray, involves capturing images of your back. This helps detect issues like fractures, infections, or other abnormalities. It's painless and quick, taking only a few minutes.
44 services20 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
39 services25 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
30 services30 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.
30 services26 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
20 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Marshfield Medical Center - Weston

Acute Care Hospitals · Weston, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520202
Location3400 Ministry ParkwayWeston, WI 54476 · Marathon County
Emergency services Birthing friendly

Aspirus Medford Hospital & Clinics, Inc

Critical Access Hospitals · Medford, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521324
Location135 S Gibson StMedford, WI 54451 · Taylor County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

85.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability89
Improvement Activities40
Cost71.55

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.

LINDSAY SUZANNE NOVAK PA-C
Physician Assistant
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Marathon County (715) 359-6442
ERIC THIEL MD
Orthopaedic Surgery
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Marathon County (715) 359-6442
BRADLEY A MUELLER APNP
Nurse Practitioner (Family)
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Marathon County (715) 359-6442
DR. MICAH LANDRY MACASKILL MD
Orthopaedic Surgery
225000 HUMMINGBIRD RD STE 100
RIB MOUNTAIN, WI 54401
Marathon County (715) 359-6442
CHARLES K MARTIN PA
Physician Assistant
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Marathon County (715) 359-6442
PAUL T STROBEL DPM
Podiatrist
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Marathon County (715) 359-6442
DR. ROGER EUGENE GREGUSH DO
Orthopaedic Surgery
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Marathon County (800) 445-6442
ABIGAIL KUZAS PT
Physical Therapist
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Marathon County (715) 359-6442

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 Benjamin Hackett's NPI number?

The NPI number for Benjamin Hackett is 1730115932. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Benjamin Hackett located?

Benjamin Hackett practices at 225000 Hummingbird Rd Ste 100, Wausau, WI 54401. The listed phone number is (715) 359-6442.

What is Benjamin Hackett's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Benjamin Hackett enrolled in Medicare?

Yes. Benjamin Hackett 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 Benjamin Hackett accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Benjamin Hackett 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 Benjamin Hackett affiliated with any hospitals?

According to CMS data, Benjamin Hackett is affiliated with Aspirus Wausau Hospital, Marshfield Medical Center - Weston and Aspirus Medford Hospital & Clinics, Inc.

When was this NPI record last updated?

The NPPES record for Benjamin Hackett was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.