DR. JOHN C COATES M.D.
NPI 1730317967
Psychiatry & Neurology - Psychiatry in Sheboygan, WI

Active since June 25, 2009PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
3425 SUPERIOR AVE, SHEBOYGAN, WI 53081(920) 496-4700 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 26, 2022, Aug 10, 2017 (2 updates tracked since 2017).

About Dr. John C Coates M.d. NPPES

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

DR. JOHN C COATES M.D. (NPI 1730317967) is an individual psychiatry provider in Sheboygan, Wisconsin, licensed in Wisconsin (67176-20) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1730317967
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JOHN C COATESCredential: M.D.
Location Address3425 SUPERIOR AVESheboygan, WI 53081-1863
Mailing Address3425 Superior AveSheboygan, WI 53081-1863 · (920) 458-5557
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 25, 2009
Last NPPES UpdateAugust 26, 20222 updates tracked since enumeration
NPPES CertifiedAugust 26, 2022
NPI 1730317967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in WI · 67176-20 Licensed in IL · 036-135435
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 67176-20 (WI)
3425 SUPERIOR AVE, Sheboygan, WI 53081

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. John C Coates 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 ID5890910434
PECOS Enrollment IDI20170830001960
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Psychologist (Clinical)
3425 SUPERIOR AVE
SHEBOYGAN, WI 53081
Counselor (Mental Health)
3425 SUPERIOR AVE
SHEBOYGAN, WI 53081
Counselor (Mental Health)
3425 SUPERIOR AVE
SHEBOYGAN, WI 53081
Social Worker (Clinical)
3425 SUPERIOR AVE
SHEBOYGAN, WI 53081
Social Worker (Clinical)
3425 SUPERIOR AVE
SHEBOYGAN, WI 53081
Social Worker (Clinical)
3425 SUPERIOR AVE
SHEBOYGAN, WI 53081
Psychiatry & Neurology (Psychiatry)
3425 SUPERIOR AVE
SHEBOYGAN, WI 53081
Counselor (Professional)
3425 SUPERIOR AVE
SHEBOYGAN, WI 53081

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 John Coates's NPI number?

The NPI number for John Coates is 1730317967. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Where is John Coates located?

John Coates practices at 3425 Superior Ave, Sheboygan, WI 53081. The listed phone number is (920) 496-4700.

What is John Coates's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is John Coates enrolled in Medicare?

Yes. John Coates 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 John Coates accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Network Health and Security Health Plan list John Coates 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 John Coates was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.