DR. JOHN C COATES M.D.
NPI 1730317967
Psychiatry & Neurology - Psychiatry in Sheboygan, WI
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show John Coates reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 673 clinicians in this Medicare group
Green Bay, WI 54304
- Reassigned Medicare billing, Wisconsin enrollment
- 742 clinicians in this Medicare group
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 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.
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.
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.
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.
Which organizations bill Medicare for John Coates's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Coates reassigns Medicare benefits to 2 organizations: St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI) and St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, 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 John Coates's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Coates accept?
Health plans from Dean Health Plan and Network Health 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 4 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.
# Dr. John C Coates, M.D. · NPI 1730317967
Psychiatry physician in Sheboygan, Wisconsin. Individual provider, active in the CMS NPPES registry since June 25, 2009.
## Identity
- **NPI:** 1730317967 (Entity type: Individual)
- **Enumerated:** June 25, 2009
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 67176-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 3425 SUPERIOR AVE, Sheboygan, WI 53081-1863
- **Phone:** (920) 496-4700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (NPI 1730184342, Sheboygan, WI); St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (NPI 1285613638, Green Bay, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** August 26, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1730317967) · Data from the CMS NPPES public registry.