JOEL A. MCCAULEY M.D.
NPI 1730366774
Internal Medicine - Critical Care Medicine in Oshkosh, WI

Active since January 22, 2008PECOS EnrolledAccepts Medicare Assignment
855 N WESTHAVEN DR, OSHKOSH, WI 54904(920) 303-8700 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 10, 2024, Jun 5, 2019 (2 updates tracked since 2019).

About Joel A. Mccauley M.d. NPPES

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

JOEL A. MCCAULEY M.D. (NPI 1730366774) is an individual critical care medicine provider in Oshkosh, Wisconsin, licensed in Wisconsin (57524) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Oshkosh, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1730366774
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameJOEL A. MCCAULEYCredential: M.D.
Location Address855 N WESTHAVEN DROshkosh, WI 54904-7668
Mailing AddressPo Box 735041Chicago, IL 60673-5041 · (800) 326-2250
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2005
Enumeration DateJanuary 22, 2008
Last NPPES UpdateSeptember 10, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
NPI 1730366774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in WI · 57524
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License 49431 (MN)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 57524 (MN)
855 N WESTHAVEN DR, Oshkosh, WI 54904

Secondary Practice Locations 3

Location 1130 2nd StNeenah, WI 54956-2883 · Phone (920) 735-7645 · Fax (920) 735-7618
Location 21000 N Oak AveMarshfield, WI 54449-5703 · Phone (715) 397-5511
Location 31818 N Meade StAppleton, WI 54911-3454 · Phone (920) 735-7645 · Fax (920) 735-7618

Other Identifiers 1

Medicaid32126000WI

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

Joel A. Mccauley 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 ID7911079520
PECOS Enrollment IDI20121023000128
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 10

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
46 services22 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
40 services40 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
36 services36 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
29 services29 patients
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.
25 services23 patients
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.
19 services16 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520198
Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54904 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

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.

Audiologist-Hearing Aid Fitter
855 N WESTHAVEN DR, STE 200
OSHKOSH, WI 54904
Nurse Anesthetist, Certified Registered
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Pathology (Anatomic Pathology & Clinical Pathology)
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Nurse Anesthetist, Certified Registered
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Emergency Medicine
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Emergency Medicine
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Surgery (Vascular Surgery)
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Nurse Practitioner
855 N WESTHAVEN DR
OSHKOSH, WI 54904

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 Joel Mccauley's NPI number?

The NPI number for Joel Mccauley is 1730366774. It was assigned to this individual provider in the NPPES registry on January 22, 2008.

Where is Joel Mccauley located?

Joel Mccauley practices at 855 N Westhaven Dr, Oshkosh, WI 54904. The listed phone number is (920) 303-8700.

What is Joel Mccauley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Joel Mccauley enrolled in Medicare?

Yes. Joel Mccauley 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 Joel Mccauley accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz list Joel Mccauley 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 Joel Mccauley affiliated with any hospitals?

According to CMS data, Joel Mccauley is affiliated with Aurora Medical Ctr Oshkosh.

When was this NPI record last updated?

The NPPES record for Joel Mccauley was last updated on September 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.