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DR. ELINA XANOS PFAFFENBACH M.D.
NPI 1780650572
Obstetrics & Gynecology in Appleton, WI

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
1818 N MEADE ST, APPLETON, WI 54911(920) 749-4000 Get Directions Write a Review

NPPES record last updated: December 18, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Elina Xanos Pfaffenbach M.d. NPPES

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

DR. ELINA XANOS PFAFFENBACH M.D. (NPI 1780650572) is an individual obstetrics & gynecology provider in Appleton, Wisconsin, licensed in Wisconsin (37089) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Medical Center - Appleton Inc, and is a graduate of Northwestern University Feinberg Medical School (1994).

NPPES Registry Identity

NPI1780650572
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. ELINA XANOS PFAFFENBACHCredential: M.D.
Location Address1818 N MEADE STAppleton, WI 54911-3454
Mailing Address1818 N Meade StAppleton, WI 54911-3454 · (920) 749-4000
Phone(920) 749-4000
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1994
Enumeration DateFebruary 23, 2006
Last NPPES UpdateDecember 18, 2012
✔ NPI 1780650572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WI · 37089
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1818 N MEADE ST, Appleton, WI 54911
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Other Identifiers 2

Medicaid34869700WI
Medicare UPINI69746

Accepted Insurance

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

Dr. Elina Xanos Pfaffenbach 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 ID5991809204
PECOS Enrollment IDI20070327000070
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

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.
33 services24 patients

Hospital Affiliations CMS Care Compare

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

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
$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.

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.

MRS. THERESA ANN HAGMAN PTA
Physical Therapy Assistant
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-4101
HANNA ROSE SIPPEL PA
Physician Assistant
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-4101
ANN M HEFTER AGACNP-BC, MSN, BSN
Nurse Practitioner
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-8900
DESSIA J LAXTON APNP
Nurse Practitioner
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-8900
MISS AMBER LYNN NEVALA CST
Specialist/Technologist, Other (Surgical Assistant)
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (906) 280-5495
DAVID MICHAEL DENELL MPT LAT/C
Physical Therapist
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-4101
PHILIP ANTHONY VOGT MD
Surgery
1818 N MEADE ST, STE 240- WEST
APPLETON, WI 54911
Outagamie County (920) 731-8289
SYED TAIMUR ALI M.D.
Hospitalist
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-4101

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 Elina Pfaffenbach's NPI number?

The NPI number for Elina Pfaffenbach is 1780650572. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Elina Pfaffenbach located?

Elina Pfaffenbach practices at 1818 N Meade St, Appleton, WI 54911. The listed phone number is (920) 749-4000.

What is Elina Pfaffenbach's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Elina Pfaffenbach enrolled in Medicare?

Yes. Elina Pfaffenbach 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 Elina Pfaffenbach accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Elina Pfaffenbach 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 Elina Pfaffenbach affiliated with any hospitals?

According to CMS data, Elina Pfaffenbach is affiliated with Thedacare Regional Medical Center - Appleton Inc.

When was this NPI record last updated?

The NPPES record for Elina Pfaffenbach was last updated on December 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.