DR. NEIL WILLIAM WANGSTROM M.D.
NPI 1730189820
Otolaryngology in La Porte, IN

Active since July 29, 2005PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
304 DETROIT ST, LA PORTE, IN 46350(219) 325-3770(219) 325-8181 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Neil William Wangstrom M.d. NPPES

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

DR. NEIL WILLIAM WANGSTROM M.D. (NPI 1730189820) is an individual otolaryngology provider in La Porte, Indiana, licensed in Indiana (01038858) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Northwest Health-la Porte, and is a graduate of Washington University School Of Medicine (1985).

NPPES Registry Identity

NPI1730189820
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. NEIL WILLIAM WANGSTROMCredential: M.D.
Location Address304 DETROIT STLa Porte, IN 46350-2497
Mailing AddressPo Box 1690La Porte, IN 46352-1690 · (219) 326-2312 · Fax (219) 326-2584
Fax(219) 325-8181
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1985
Enumeration DateJuly 29, 2005
Last NPPES UpdateSeptember 16, 2020
NPPES CertifiedSeptember 16, 2020
NPI 1730189820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in IN · 01038858
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Pediatric OtolaryngologyTaxonomy 207YP0228X · License 01038858 (IN)
Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X · License 01038858 (IN)
Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X · License 01038858 (IN)
Also ListedOtolaryngology · Otology & NeurotologyTaxonomy 207YX0901X · License 01038858 (IN)
Also ListedOtolaryngology · Otolaryngology/Facial Plastic SurgeryTaxonomy 207YX0905X · License 01038858 (IN)
304 DETROIT ST, La Porte, IN 46350

Other Identifiers 3

OtherM400041676IN · Medicare Ptan
Other000000697664IN · Anthem
Medicaid100165330IN

Accepted 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

Dr. Neil William Wangstrom 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 ID2062474414
PECOS Enrollment IDI20041028000846
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 12

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.
97 services79 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
80 services80 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
63 services63 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.
56 services52 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
42 services37 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
36 services30 patients

Hospital Affiliations CMS Care Compare 4

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

Northwest Health-La Porte

Acute Care Hospitals · La Porte, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150006
Location1331 State StreetLa Porte, IN 46350 · La Porte County
Emergency services Birthing friendly

Franciscan Health Michigan City

Acute Care Hospitals · Michigan City, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150015
Location3500 Franciscan WayMichigan City, IN 46360 · La Porte County
Emergency services Birthing friendly

Northwest Health - Porter

Acute Care Hospitals · Valparaiso, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150035
Location85 East Us Hwy 6Valparaiso, IN 46383 · Porter County
Emergency services Birthing friendly

Northwest Health - Starke

Acute Care Hospitals · Knox, IN
OwnershipProprietary
CMS Certification Number150102
Location102 E Culver RdKnox, IN 46534 · Starke County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46350 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.04
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers14 claims72 services$1.80 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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
304 DETROIT ST
LA PORTE, IN 46350
Physician Assistant
304 DETROIT ST
LA PORTE, IN 46350
Social Worker (Clinical)
304 DETROIT ST, SUITE A
LA PORTE, IN 46350
Audiologist
304 DETROIT ST
LA PORTE, IN 46350

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 Neil Wangstrom's NPI number?

The NPI number for Neil Wangstrom is 1730189820. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Where is Neil Wangstrom located?

Neil Wangstrom practices at 304 Detroit St, La Porte, IN 46350. The listed phone number is (219) 325-3770.

What is Neil Wangstrom's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Neil Wangstrom enrolled in Medicare?

Yes. Neil Wangstrom 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 Neil Wangstrom accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Neil Wangstrom 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 Neil Wangstrom affiliated with any hospitals?

According to CMS data, Neil Wangstrom is affiliated with Northwest Health-La Porte, Franciscan Health Michigan City, Northwest Health - Porter and Northwest Health - Starke.

When was this NPI record last updated?

The NPPES record for Neil Wangstrom was last updated on September 16, 2020. 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.