JAMES A WRIGHT MD
NPI 1740273390
Urology in Fond Du Lac, WI

Active since August 30, 2005PECOS EnrolledAccepts Medicare Assignment
420 E DIVISION ST, FOND DU LAC, WI 54935(920) 926-8495 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 21, 2020, Mar 3, 2016 (2 updates tracked since 2016).

About James A Wright Md NPPES

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

JAMES A WRIGHT MD (NPI 1740273390) is an individual urology provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (28621) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with St. Agnes Hospital Hospice, and is a graduate of Medical College Of Wisconsin (1986).

NPPES Registry Identity

NPI1740273390
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJAMES A WRIGHTCredential: MD
Location Address420 E DIVISION STFond Du Lac, WI 54935-4560
Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8343
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1986
Enumeration DateAugust 30, 2005
Last NPPES UpdateDecember 21, 20202 updates tracked since enumeration
NPPES CertifiedDecember 21, 2020
NPI 1740273390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in WI · 28621
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
420 E DIVISION ST, Fond Du Lac, WI 54935

Other Identifiers 2

Medicaid32272800WI
Other340013156WI · Railroad Medicare

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

James A Wright Md 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 ID2668385204
PECOS Enrollment IDI20061010000574
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 8

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.
178 services141 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.
178 services151 patients
Simple insertion of temporary bladder tube 51702
This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.
53 services11 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
52 services40 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.
40 services31 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
36 services29 patients

Hospital Affiliations CMS Care Compare 2

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

St. Agnes Hospital Hospice

Acute Care Hospitals · Fond Du Lac, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520088
Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac County
Emergency services Birthing friendly

Ripon Medical Center

Critical Access Hospitals · Ripon, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521321
Location845 Parkside StRipon, WI 54971 · Fond Du Lac County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54935 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
$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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
2 suppliers36 claims42 services$1.99 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
3 suppliers48 claims50 services$4.75 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers84 claims2,271 services$1.66 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers59 claims78 services$7.35 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
3 suppliers105 claims145 services$6.14 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.

Nurse Practitioner
420 E DIVISION ST
FOND DU LAC, WI 54935
Obstetrics & Gynecology
420 E DIVISION ST
FOND DU LAC, WI 54935
Urology
420 E DIVISION ST
FOND DU LAC, WI 54935
Psychologist
420 E DIVISION ST
FOND DU LAC, WI 54935
Nurse Practitioner (Psychiatric/Mental Health)
420 E DIVISION ST
FOND DU LAC, WI 54935
Nurse Practitioner
420 E DIVISION ST
FOND DU LAC, WI 54935
Nurse Practitioner (Family)
420 E DIVISION ST
FOND DU LAC, WI 54935
Urology
420 E DIVISION ST
FOND DU LAC, WI 54935

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 James Wright's NPI number?

The NPI number for James Wright is 1740273390. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is James Wright located?

James Wright practices at 420 E Division St, Fond Du Lac, WI 54935. The listed phone number is (920) 926-8495.

What is James Wright's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is James Wright enrolled in Medicare?

Yes. James Wright 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 James Wright accept?

Health plans from Quartz list James Wright 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 James Wright affiliated with any hospitals?

According to CMS data, James Wright is affiliated with St. Agnes Hospital Hospice and Ripon Medical Center.

When was this NPI record last updated?

The NPPES record for James Wright was last updated on December 21, 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.