MARCUS J HAEMMERLE MD
NPI 1780890277
Orthopaedic Surgery in Stevens Point, WI

Active since May 14, 2007PECOS EnrolledAccepts Medicare Assignment
86.44/100
CMS Quality Rating
500 VINCENT ST, STEVENS POINT, WI 54481(715) 344-0701(715) 344-4494 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2022, May 1, 2019 (2 updates tracked since 2019).

About Marcus J Haemmerle Md NPPES

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

MARCUS J HAEMMERLE MD (NPI 1780890277) is an individual orthopaedic surgery provider in Stevens Point, Wisconsin, licensed in Wisconsin (52451-020) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., and is a graduate of University Of Pittsburgh School Of Medicine (2004).

NPPES Registry Identity

NPI1780890277
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMARCUS J HAEMMERLECredential: MD
Location Address500 VINCENT STStevens Point, WI 54481
Mailing Address500 Vincent StStevens Point, WI 54481-1842 · (715) 344-0701 · Fax (715) 344-4494
Fax(715) 344-4494
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2004
Enumeration DateMay 14, 2007
Last NPPES UpdateMay 11, 20222 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
NPI 1780890277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in WI · 52451-020 Licensed in MI · 4301083701
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
500 VINCENT ST, Stevens Point, WI 54481

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

Marcus J Haemmerle 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 ID6204989023
PECOS Enrollment IDI20090727000560
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 11

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
508 services42 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.
121 services88 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
61 services45 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
42 services41 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.
33 services31 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
32 services32 patients

Hospital Affiliations CMS Care Compare

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

Aspirus Stevens Point Hospital & Clinics, Inc.

Acute Care Hospitals · Stevens Point, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520002
Location900 Illinois AveStevens Point, WI 54481 · Portage County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54481 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality62.3
Promoting Interoperability91
Improvement Activities40
Cost100

Reported Quality Measures

Advance Care Plan
72%476 patients3/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
68%254 patients4/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
99%1,428 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
41%440 patients2/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 80% · 589 patients
Patients screened: 83% · 589 patients
69%51 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
45%402 patients2/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 466 patients
Patients totalRate: 0% · 466 patients
0%466 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers11 claims11 services$63.07 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.

Anesthesiology
500 VINCENT ST
STEVENS POINT, WI 54481
Physical Therapist
500 VINCENT ST
STEVENS POINT, WI 54481
Specialist/Technologist (Athletic Trainer)
500 VINCENT ST
STEVENS POINT, WI 54481
Psychiatry & Neurology (Neurology)
500 VINCENT ST
STEVENS POINT, WI 54481
Emergency Medicine
500 VINCENT ST
STEVENS POINT, WI 54481
Physician Assistant (Surgical)
500 VINCENT ST
STEVENS POINT, WI 54481
Orthopaedic Surgery
500 VINCENT ST
STEVENS POINT, WI 54481
Urology
500 VINCENT ST, SUITE D
STEVENS POINT, WI 54481

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 Marcus Haemmerle's NPI number?

The NPI number for Marcus Haemmerle is 1780890277. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Marcus Haemmerle located?

Marcus Haemmerle practices at 500 Vincent St, Stevens Point, WI 54481. The listed phone number is (715) 344-0701.

What is Marcus Haemmerle's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Marcus Haemmerle enrolled in Medicare?

Yes. Marcus Haemmerle 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 Marcus Haemmerle accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Marcus Haemmerle 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 Marcus Haemmerle affiliated with any hospitals?

According to CMS data, Marcus Haemmerle is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc..

When was this NPI record last updated?

The NPPES record for Marcus Haemmerle was last updated on May 11, 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.