(INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM PODIATRY CLINIC
NPI 1740704089
Specialist in Beaver Dam, WI
About (inactive) Marshfield Medical Center - Beaver Dam Podiatry Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
(INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM PODIATRY CLINIC (NPI 1740704089) is a healthcare organization registered as a specialist in Beaver Dam, Wisconsin and active in the NPI registry since July 2017. The organization lists Gordon T Edwards, Cfo/coo/ao, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
(inactive) Marshfield Medical Center - Beaver Dam Podiatry Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,444Medicare enrollment records show 1,444 clinicians reassign Medicare billing to (inactive) Marshfield Medical Center - Beaver Dam Podiatry Clinic, which bills Medicare for the services they deliver. Of these, 39 practice at this address and 51 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 65
Nearest to this location (20)
See all 1,444Beaver Dam, WI 53916
Beaver Dam, WI 53916
Beaver Dam, WI 53916
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Beaver Dam Community Hospitals Inc's NPI number?
The NPI number for Beaver Dam Community Hospitals Inc is 1740704089. It was assigned to this organization in the NPPES registry on July 28, 2017. The provider is doing business as (inactive) Marshfield Medical Center - Beaver Dam Podiatry Clinic.
Where is Beaver Dam Community Hospitals Inc located?
Beaver Dam Community Hospitals Inc is located at 705 S University Ave Ste 150, Beaver Dam, WI 53916. The listed phone number is (920) 219-4009.
What is Beaver Dam Community Hospitals Inc's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Beaver Dam Community Hospitals Inc enrolled in Medicare?
Yes. Beaver Dam Community Hospitals Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Beaver Dam Community Hospitals Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,444 clinicians in 65 Medicare specialties reassign their Medicare billing to Beaver Dam Community Hospitals Inc. A 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 the clinician's services. The largest specialties are Nurse Practitioner (216), Certified Registered Nurse Anesthetist (CRNA) (159) and Emergency Medicine (131). Of these, 39 practice at this address and 51 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Beaver Dam Community Hospitals Inc accept?
Health plans from Security Health Plan list Beaver Dam Community Hospitals Inc 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 Beaver Dam Community Hospitals Inc was last updated on March 3, 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.
# (inactive) Marshfield Medical Center - Beaver Dam Podiatry Clinic · NPI 1740704089
Specialist organization in Beaver Dam, Wisconsin. Organization record, active in the CMS NPPES registry since July 28, 2017.
## Identity
- **NPI:** 1740704089 (Entity type: Organization)
- **Enumerated:** July 28, 2017
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Legal business name:** Beaver Dam Community Hospitals Inc
- **Organization subpart:** Yes (part of Marshfield Clinic Health System Inc)
- **Authorized official:** Gordon Edwards, CFO/COO/AO
## Practice location
- **Address:** 705 S UNIVERSITY AVE STE 150, Beaver Dam, WI 53916
- **Phone:** (920) 219-4009
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,444 clinicians in 65 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (216), Certified Registered Nurse Anesthetist (CRNA) (159), Emergency Medicine (131); 39 practice at this address and 51 within 10 miles; [full list](https://npiprofile.com/npi/1740704089/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1740704089) · Data from the CMS NPPES public registry.