WALLACE B BRUCKER MD
NPI 1831285881
Orthopaedic Surgery in Tomah, WI
About Wallace B Brucker Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALLACE B BRUCKER MD (NPI 1831285881) is an individual orthopaedic surgery provider in Tomah, Wisconsin, licensed in Wisconsin (48603) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Black River Memorial Hospital, and is a graduate of Other (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Wallace B Brucker 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.
Medicare Billing Reassignments
4Medicare enrollment records show Wallace Brucker reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tomah, WI 54660
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1184765240 (Wisconsin)
- 249 clinicians in this Medicare group
Mauston, WI 53948
- Reassigned Medicare billing, Wisconsin enrollment
- 189 clinicians in this Medicare group
Black River Falls, WI 54615
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1811940331 (Wisconsin)
- 227 clinicians in this Medicare group
Richland Center, WI 53581
- Reassigned Medicare billing, Wisconsin enrollment
- 109 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Black River Memorial Hospital
Critical Access Hospitals · Black River Falls, WIRichland Hospital
Critical Access Hospitals · Richland Center, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Wallace Brucker's NPI number?
The NPI number for Wallace Brucker is 1831285881. It was assigned to this individual provider in the NPPES registry on October 5, 2006.
Where is Wallace Brucker located?
Wallace Brucker practices at 321 Butts Ave, Tomah, WI 54660. The listed phone number is (608) 374-0303.
What is Wallace Brucker's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Wallace Brucker enrolled in Medicare?
Yes. Wallace Brucker 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.
Which organizations bill Medicare for Wallace Brucker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wallace Brucker reassigns Medicare benefits to 4 organizations: Tomah Memorial Hospital Inc (Tomah, WI), Mile Bluff Medical Center Inc (Mauston, WI), Black River Health Inc (Black River Falls, WI) and Richland Hospital (Richland Center, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wallace Brucker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Wallace Brucker accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners and Quartz list Wallace Brucker 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 Wallace Brucker affiliated with any hospitals?
According to CMS data, Wallace Brucker is affiliated with Black River Memorial Hospital and Richland Hospital.
When was this NPI record last updated?
The NPPES record for Wallace Brucker was last updated on June 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Wallace B Brucker, MD · NPI 1831285881
Orthopaedic Surgery physician in Tomah, Wisconsin. Individual provider, active in the CMS NPPES registry since October 5, 2006.
## Identity
- **NPI:** 1831285881 (Entity type: Individual)
- **Enumerated:** October 5, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 48603 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 321 BUTTS AVE, Tomah, WI 54660-1412
- **Phone:** (608) 374-0303
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Tomah Memorial Hospital Inc (NPI 1992970453, Tomah, WI); Mile Bluff Medical Center Inc (NPI 1881930527, Mauston, WI); Black River Health Inc (NPI 1003914011, Black River Falls, WI); Richland Hospital (NPI 1659301273, Richland Center, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1990
## Record status
- **NPPES last updated:** June 21, 2012
- **Other identifiers:** Medicare UPIN F45744; Medicaid 34706400 (WI); Medicare ID-Type Unspecified 030320270 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1831285881) · Data from the CMS NPPES public registry.