KIMBERLY A PERTTU DO
NPI 1730314253
Family Medicine in Lancaster, WI

Active since May 28, 2009PECOS EnrolledAccepts Medicare Assignment
97.71/100
CMS Quality Rating
507 S MONROE ST, LANCASTER, WI 53813(608) 723-2131 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 23, 2025, Dec 2, 2015 (2 updates tracked since 2015).

About Kimberly A Perttu Do NPPES

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

KIMBERLY A PERTTU DO (NPI 1730314253) is an individual family medicine provider in Lancaster, Wisconsin, licensed in Wisconsin (64349-21) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Grant Regional Health Center, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2009).

NPPES Registry Identity

NPI1730314253
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKIMBERLY A PERTTUCredential: DO
Location Address507 S MONROE STLancaster, WI 53813-2054
Mailing Address507 S Monroe StLancaster, WI 53813-2054 · (608) 723-2131
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2009
Enumeration DateMay 28, 2009
Last NPPES UpdateMay 23, 20252 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
NPI 1730314253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WI · 64349-21 Licensed in MI · KP018428
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.
507 S MONROE ST, Lancaster, WI 53813

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

Kimberly A Perttu 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 ID244483287
PECOS Enrollment IDI20150930001996
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
37 services18 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
19 services19 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
16 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Grant Regional Health Center

Critical Access Hospitals · Lancaster, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521322
Location507 S Monroe StLancaster, WI 53813 · Grant County
Emergency services

Vernon Memorial Hospital

Critical Access Hospitals · Viroqua, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521348
Location507 South Main StViroqua, WI 54665 · Vernon County
Emergency services

Southwest Health Center

Critical Access Hospitals · Platteville, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521354
Location1400 East Side RdPlatteville, WI 53818 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53813 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.

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.

97.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.84
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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
4 suppliers24 claims68 services$4.66 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers14 claims23 services$0.78 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers11 claims11 services$22.54 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers12 claims60 services$2.87 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
2 suppliers20 claims20 services$102.18 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
4 suppliers36 claims36 services$186.62 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.

Dietitian, Registered
507 S MONROE ST
LANCASTER, WI 53813
Nurse Practitioner (Family)
507 S MONROE ST
LANCASTER, WI 53813
Obstetrics & Gynecology (Reproductive Endocrinology)
507 S MONROE ST
LANCASTER, WI 53813
Nurse Anesthetist, Certified Registered
507 S MONROE ST
LANCASTER, WI 53813
Physical Therapist
507 S MONROE ST
LANCASTER, WI 53813
Physical Therapist
507 S MONROE ST
LANCASTER, WI 53813
Non-Pharmacy Dispensing Site
507 S MONROE ST
LANCASTER, WI 53813
Surgery
507 S MONROE ST
LANCASTER, WI 53813

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 Kimberly Perttu's NPI number?

The NPI number for Kimberly Perttu is 1730314253. It was assigned to this individual provider in the NPPES registry on May 28, 2009.

Where is Kimberly Perttu located?

Kimberly Perttu practices at 507 S Monroe St, Lancaster, WI 53813. The listed phone number is (608) 723-2131.

What is Kimberly Perttu's specialty?

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

Is Kimberly Perttu enrolled in Medicare?

Yes. Kimberly Perttu 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 Kimberly Perttu accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, HealthPartners and Quartz list Kimberly Perttu 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 Kimberly Perttu affiliated with any hospitals?

According to CMS data, Kimberly Perttu is affiliated with Grant Regional Health Center, Vernon Memorial Hospital and Southwest Health Center.

When was this NPI record last updated?

The NPPES record for Kimberly Perttu was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.