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CARL J VIVIANO M.D.
NPI 1811925829
Urology in Wausau, WI

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
84.55/100
CMS Quality Rating
3300 WESTHILL DR, WAUSAU, WI 54401(715) 847-2605(715) 847-2604 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carl J Viviano M.d. NPPES

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

CARL J VIVIANO M.D. (NPI 1811925829) is an individual urology provider in Wausau, Wisconsin, licensed in Wisconsin (31967-020) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Aspirus Rhinelander Hospital, and is a graduate of Wayne State University School Of Medicine (1991).

NPPES Registry Identity

NPI1811925829
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameCARL J VIVIANOCredential: M.D.
Location Address3300 WESTHILL DRWausau, WI 54401-4710
Mailing Address3300 Westhill DrWausau, WI 54401-4710 · (715) 847-2605 · Fax (715) 847-2604
Phone(715) 847-2605
Fax(715) 847-2604
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1991
Enumeration DateJune 29, 2006
Last NPPES UpdateJuly 28, 2016
✔ NPI 1811925829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in WI · 31967-020
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
3300 WESTHILL DR, Wausau, WI 54401
Open in Google Maps ↗

Other Identifiers 2

Medicaid31685400WI
Medicare UPINE81348

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners 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

Carl J Viviano 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 ID244142834
PECOS Enrollment IDI20110114000960
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.

Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
20 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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.

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.

84.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.81
Promoting Interoperability100
Improvement Activities40
Cost53.8

Other Providers at the Same Location NPPES 14

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

BRITTANY OCKER PA
Physician Assistant
3300 WESTHILL DR
WAUSAU, WI 54401
Marathon County (715) 847-2605
CASEY WADE NEUMAN DNP
Nurse Practitioner
3300 WESTHILL DR
WAUSAU, WI 54401
Marathon County (888) 847-2605
JENNIFER DOROTHY YURISH NP
Nurse Practitioner
3300 WESTHILL DR
WAUSAU, WI 54401
Marathon County (715) 847-2605
LAURA E SHERRILL M.D.
Urology
3300 WESTHILL DR
WAUSAU, WI 54401
Marathon County (715) 847-2605
BENJAMIN S BATTINO M.D.
Urology
3300 WESTHILL DR
WAUSAU, WI 54401
Marathon County (715) 847-2605
DAVID L BLUESTEIN M.D.
Specialist
3300 WESTHILL DR
WAUSAU, WI 54401
Marathon County (715) 847-2605
KIRSTEN DONNER PA-C
Physician Assistant
3300 WESTHILL DR
WAUSAU, WI 54401
Marathon County (715) 847-2605
MR. PANUPONG HANSRIVIJIT M.D., M.P.H.
Internal Medicine (Nephrology)
3300 WESTHILL DR
WAUSAU, WI 54401
Marathon County (715) 847-2371

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 Carl Viviano's NPI number?

The NPI number for Carl Viviano is 1811925829. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Carl Viviano located?

Carl Viviano practices at 3300 Westhill Dr, Wausau, WI 54401. The listed phone number is (715) 847-2605.

What is Carl Viviano's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Carl Viviano enrolled in Medicare?

Yes. Carl Viviano 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 Carl Viviano accept?

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

According to CMS data, Carl Viviano is affiliated with Aspirus Rhinelander Hospital and Aspirus Wausau Hospital.

When was this NPI record last updated?

The NPPES record for Carl Viviano was last updated on July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.