WALLACE B BRUCKER MD
NPI 1831285881
Orthopaedic Surgery in Tomah, WI

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
321 BUTTS AVE, TOMAH, WI 54660(608) 374-0303 Get Directions Write a Review

NPPES record last updated: June 21, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1831285881
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameWALLACE B BRUCKERCredential: MD
Location Address321 BUTTS AVETomah, WI 54660-1412
Mailing Address321 Butts AveTomah, WI 54660-1412
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateOctober 5, 2006
Last NPPES UpdateJune 21, 2012
NPI 1831285881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in WI · 48603
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.

321 BUTTS AVE, Tomah, WI 54660

Other Identifiers 3

Medicare UPINF45744
Medicaid34706400WI
Medicare ID-Type Unspecified030320270WI

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

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.

PECOS PAC ID4486641982
PECOS Enrollment IDI20051116000179
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.

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, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521333
Location711 W Adams StBlack River Falls, WI 54615 · Jackson County
Emergency services

Richland Hospital

Critical Access Hospitals · Richland Center, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521341
Location333 E Second StRichland Center, WI 53581 · Richland County
Emergency services

Physician 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.

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.

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.

Occupational Therapist
321 BUTTS AVE
TOMAH, WI 54660
Occupational Therapist
321 BUTTS AVE
TOMAH, WI 54660
Physical Therapist
321 BUTTS AVE
TOMAH, WI 54660
Occupational Therapist
321 BUTTS AVE
TOMAH, WI 54660
Physical Therapist
321 BUTTS AVE
TOMAH, WI 54660
Speech-Language Pathologist
321 BUTTS AVE
TOMAH, WI 54660
Occupational Therapist
321 BUTTS AVE
TOMAH, WI 54660
Physical Therapist
321 BUTTS AVE
TOMAH, WI 54660

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.

What insurance does Wallace Brucker accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Quartz and Security Health Plan 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 with the weekly NPPES data releases published by CMS.