ADAM PETER CALUSIC DO
NPI 1790713436
Family Medicine in Grafton, WI

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
215 WASHINGTON ST, GRAFTON, WI 53024(262) 375-3700(262) 375-6306 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 29, 2021, Sep 11, 2019, May 16, 2019 (3 updates tracked since 2019).

About Adam Peter Calusic Do NPPES

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

ADAM PETER CALUSIC DO (NPI 1790713436) is an individual family medicine provider in Grafton, Wisconsin, licensed in Wisconsin (66284) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center, and maintains a secondary practice location in Grafton.

NPPES Registry Identity

NPI1790713436
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameADAM PETER CALUSICCredential: DO
Location Address215 WASHINGTON STGrafton, WI 53024
Mailing Address215 Washington StGrafton, WI 53024-1700 · (262) 375-3700 · Fax (262) 375-6306
Fax(262) 375-6306
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJune 29, 2006
Last NPPES UpdateNovember 29, 20213 updates tracked since enumeration
NPPES CertifiedNovember 29, 2021
NPI 1790713436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 66284
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
215 WASHINGTON ST, Grafton, WI 53024

Secondary Practice Location 1

Location 1215 WASHINGTON STGRAFTON, WI 53024 · Phone (262) 375-3700 · Fax (262) 375-6306

Other Identifiers 8

Other000161435PA · Highmark Blue Shield
Other4663112PA · Aetna
Other50051256Blue Cross
Other0038505000Blue Shield
Medicaid100061643WI
OtherO002395Gateway
Medicaid0006805790004PA
OtherP00258005Rr Medicare

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

Adam Peter Calusic Do 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 ID6507895893
PECOS Enrollment IDI20161202001858
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 7

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 services68 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.
34 services34 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.
25 services25 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.
21 services21 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
18 services18 patients
Inhalation treatment for airway obstruction or sputum production 94640
Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53024 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.

Internal Medicine
215 WASHINGTON ST
GRAFTON, WI 53024
Family Medicine
215 WASHINGTON ST
GRAFTON, WI 53024
Pediatrics
215 WASHINGTON ST
GRAFTON, WI 53024
Dermatology
215 WASHINGTON ST
GRAFTON, WI 53024
Physician Assistant
215 WASHINGTON ST
GRAFTON, WI 53024
Pediatrics
215 WASHINGTON ST
GRAFTON, WI 53024
Physical Therapist
215 WASHINGTON ST
GRAFTON, WI 53024
Physical Therapist
215 WASHINGTON ST
GRAFTON, WI 53024

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 Adam Calusic's NPI number?

The NPI number for Adam Calusic is 1790713436. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Adam Calusic located?

Adam Calusic practices at 215 Washington St, Grafton, WI 53024. The listed phone number is (262) 375-3700.

What is Adam Calusic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Adam Calusic enrolled in Medicare?

Yes. Adam Calusic 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 Adam Calusic accept?

Health plans from CareSource (Common Ground Healthcare) list Adam Calusic 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 Adam Calusic affiliated with any hospitals?

According to CMS data, Adam Calusic is affiliated with Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Adam Calusic was last updated on November 29, 2021. 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.