LAWRENCE JOHN MACIOLEK M.D.
NPI 1811925381
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Glendale, WI

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
75.75/100
CMS Quality Rating
525 W RIVER WOODS PARKWAY, SUITE 130, GLENDALE, WI 53212(414) 961-0304(414) 961-2061 Get Directions Write a Review

NPPES record last updated: November 6, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lawrence John Maciolek M.d. NPPES

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

LAWRENCE JOHN MACIOLEK M.D. (NPI 1811925381) is an individual orthopaedic surgery of the spine provider in Glendale, Wisconsin, licensed in Wisconsin (45567-20) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of University Of Wisconsin School Of Medicine (2001).

NPPES Registry Identity

NPI1811925381
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameLAWRENCE JOHN MACIOLEKCredential: M.D.
Location Address525 W RIVER WOODS PARKWAY, SUITE 130Glendale, WI 53212
Mailing Address575 W River Woods Pkwy, Suite 100Glendale, WI 53212-1003 · (414) 332-6262 · Fax (414) 332-0422
Fax(414) 961-2061
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2001
Enumeration DateJune 30, 2006
Last NPPES UpdateNovember 6, 2019
NPI 1811925381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in WI · 45567-20
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 45567-020 (WI)
525 W RIVER WOODS PARKWAY, Glendale, WI 53212

Other Identifiers 1

Medicaid34908400WI

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

Lawrence John Maciolek 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 ID1355345653
PECOS Enrollment IDI20070720000409
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 10

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.
231 services178 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.
154 services127 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
135 services103 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.
86 services86 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
69 services50 patients
X-ray of pelvis, 1-2 views 72170
An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
52 services52 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Orthopaedic Hospital Of Wisconsin

Acute Care Hospitals · Glendale, WI
OwnershipPhysician
CMS Certification Number520194
Location475 W River Woods PkwyGlendale, WI 53212 · Milwaukee County

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

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.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability76
Improvement Activities40
Cost57.63

Other Providers at the Same Location NPPES 4

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

Orthopaedic Surgery
525 W RIVER WOODS PARKWAY, STE 130
GLENDALE, WI 53212
Orthopaedic Surgery
525 W RIVER WOODS PARKWAY, STE 130
GLENDALE, WI 53212
Orthopaedic Surgery
525 W RIVER WOODS PARKWAY, STE 130
GLENDALE, WI 53212
Orthopaedic Surgery
525 W RIVER WOODS PARKWAY, STE 130
GLENDALE, WI 53212

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 Lawrence Maciolek's NPI number?

The NPI number for Lawrence Maciolek is 1811925381. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Lawrence Maciolek located?

Lawrence Maciolek practices at 525 W River Woods Parkway Suite 130, Glendale, WI 53212. The listed phone number is (414) 961-0304.

What is Lawrence Maciolek's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Lawrence Maciolek enrolled in Medicare?

Yes. Lawrence Maciolek 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 Lawrence Maciolek accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Lawrence Maciolek 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 Lawrence Maciolek affiliated with any hospitals?

According to CMS data, Lawrence Maciolek is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension SE Wisconsin Hospital, Froedtert Memorial Lutheran Hospital, Orthopaedic Hospital Of Wisconsin and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Lawrence Maciolek was last updated on November 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.