DR. MAURICIO E PALENCIA MD
NPI 1770558264
Emergency Medicine in Plymouth, WI

Q: What is Mauricio Palencia's NPI number?

The NPI number for Mauricio Palencia is 1770558264. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Q: What is Mauricio Palencia's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Mauricio Palencia was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 20, 2006PECOS Enrolled

2600 KILEY WAY, PLYMOUTH, WI 53073(920) 449-7000 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 15, 2024, Jul 21, 2022, Nov 29, 2021 and 5 more (8 updates tracked since 2017).

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About Dr. Mauricio E Palencia Md NPPES

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

DR. MAURICIO E PALENCIA MD (NPI 1770558264) is an individual emergency medicine provider in Plymouth, Wisconsin, licensed in Wisconsin (43429) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1770558264

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. MAURICIO E PALENCIACredential: MD

Location Address2600 KILEY WAYPlymouth, WI 53073-5020

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(920) 449-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateFebruary 20, 2006

Last NPPES UpdateAugust 15, 20248 updates tracked since enumeration

NPPES CertifiedAugust 15, 2024

✔ NPI 1770558264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in WI · 43429

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 43429 (WI)

2600 KILEY WAY, Plymouth, WI 53073

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Other Identifiers 1

Medicaid34111200WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mauricio E Palencia Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294711560

PECOS Enrollment IDI20040628000218

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.

Medicare Billing Reassignments

Medicare enrollment records show Mauricio Palencia reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aurora Medical Group, Inc.

11 mi

Clinic/Center

2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081

Reassigned Medicare billing, Wisconsin enrollment
4,609 clinicians in this Medicare group

NPI 1174670244 (920) 457-4461

Aurora Advanced Healthcare, Inc.

42 mi

Family Medicine

3003 W GOOD HOPE RD
Milwaukee, WI 53209

Reassigned Medicare billing, Wisconsin enrollment
1,615 clinicians in this Medicare group

NPI 1265629133 (414) 352-3100

Lakeshore Medical Clinic, LLC

55 mi

Family Medicine

2000 E LAYTON AVE STE 100
Saint Francis, WI 53235

Reassigned Medicare billing, Wisconsin enrollment
960 clinicians in this Medicare group

NPI 1003861188 (414) 744-6589

Memorial Hospital Of Boscobel

131 mi

Rural Health

525 N WISCONSIN AVE
Muscoda, WI 53573

Reassigned Medicare billing, Wisconsin enrollment
299 clinicians in this Medicare group

NPI 1255620613 (608) 375-4112

Aamg Reach PLLC

142 mi

Family Medicine

1357 W 103RD ST
Chicago, IL 60643

Reassigned Medicare billing, Wisconsin enrollment
41 clinicians in this Medicare group

NPI 1609502707 (773) 238-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 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.

205 services190 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

42 services41 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

37 services37 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.

36 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53073 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

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.

ANTHONY LAZARO

Family Medicine