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TODD L MCNIESH MPAS, PA-C
NPI 1770857229
Physician Assistant in Appleton, WI

Active since March 01, 2012PECOS EnrolledAccepts Medicare Assignment
2500 E CAPITOL DR STE 1200, APPLETON, WI 54911(920) 830-6877(999) 999-9999 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2020, Mar 26, 2017 (2 updates tracked since 2017).

About Todd L Mcniesh Mpas, Pa-c NPPES

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

TODD L MCNIESH MPAS, PA-C (NPI 1770857229) is an individual physician assistant in Appleton, Wisconsin, licensed in Wisconsin (5007) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and maintains a secondary practice location in Elma.

NPPES Registry Identity

NPI1770857229
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTODD L MCNIESHCredential: MPAS, PA-C
Location Address2500 E CAPITOL DR STE 1200Appleton, WI 54911-8735
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 454-4101 · Fax (920) 830-5910
Phone(920) 830-6877
Fax(999) 999-9999
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2012
Enumeration DateMarch 1, 2012
Last NPPES UpdateJune 18, 20202 updates tracked since enumeration
NPPES CertifiedJune 18, 2020
✔ NPI 1770857229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 5007
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2500 E CAPITOL DR STE 1200, Appleton, WI 54911
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Secondary Practice Location 1

Location 1600 E Main StElma, WA 98541-9560 · Phone (360) 346-2222

Accepted Insurance

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

Todd L Mcniesh Mpas, Pa-c 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 ID6709166341
PECOS Enrollment IDI20200630000909
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 5

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.
73 services71 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.
55 services55 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
26 services26 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
25 services25 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 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
$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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOURASACK KIT VONGSA MD
Family Medicine
2500 E CAPITOL DR STE 1200
APPLETON, WI 54911
Outagamie County (920) 830-6877
CHELSEY S MCNABB PENDER MD
Internal Medicine
2500 E CAPITOL DR STE 1200
APPLETON, WI 54911
Outagamie County (920) 731-5811

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 Todd Mcniesh's NPI number?

The NPI number for Todd Mcniesh is 1770857229. It was assigned to this individual provider in the NPPES registry on March 1, 2012.

Where is Todd Mcniesh located?

Todd Mcniesh practices at 2500 E Capitol Dr Ste 1200, Appleton, WI 54911. The listed phone number is (920) 830-6877.

What is Todd Mcniesh's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Todd Mcniesh enrolled in Medicare?

Yes. Todd Mcniesh 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 Todd Mcniesh accept?

Health plans from Aspirus Health Plan and CareSource (Common Ground Healthcare) list Todd Mcniesh 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 Todd Mcniesh affiliated with any hospitals?

According to CMS data, Todd Mcniesh is affiliated with Thedacare Regional Med Ctr - Neenah and Thedacare Regional Medical Center - Appleton Inc.

When was this NPI record last updated?

The NPPES record for Todd Mcniesh was last updated on June 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.