DR. JOHN G TOUZIOS MD
NPI 1841369832
Surgery in Waukesha, WI

Active since November 06, 2006PECOS EnrolledAccepts Medicare Assignment
1111 DELAFIELD ST, STE 209, WAUKESHA, WI 53188(262) 542-0444(262) 540-8214 Get Directions Write a Review

NPPES record last updated: April 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 24, 2019, Oct 1, 2018 (2 updates tracked since 2018).

About Dr. John G Touzios Md NPPES

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

DR. JOHN G TOUZIOS MD (NPI 1841369832) is an individual surgery provider in Waukesha, Wisconsin, licensed in Wisconsin (46066-20) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Northwestern University Feinberg Medical School (2001).

NPPES Registry Identity

NPI1841369832
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JOHN G TOUZIOSCredential: MD
Location Address1111 DELAFIELD ST, STE 209Waukesha, WI 53188-3403
Mailing Address1111 Delafield St, Ste 209Waukesha, WI 53188-3403 · (262) 542-0444 · Fax (262) 540-8214
Fax(262) 540-8214
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2001
Enumeration DateNovember 6, 2006
Last NPPES UpdateApril 24, 20192 updates tracked since enumeration
NPI 1841369832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in WI · 46066-20
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 46066-020 (WI)
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License 46066-020 (WI)
1111 DELAFIELD ST, Waukesha, WI 53188

Other Identifiers 1

Medicaid1841369832WI

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

Dr. John G Touzios 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 ID4486727328
PECOS Enrollment IDI20090803000531
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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
61 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
44 services42 patients
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.
41 services37 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
32 services30 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
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.
18 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
4 suppliers11 claims349 services$4.77 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
3 suppliers17 claims80 services$5.53 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
7 suppliers41 claims920 services$7.93 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
2 suppliers11 claims215 services$5.97 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
3 suppliers18 claims1,800 services$1.56 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
5 suppliers23 claims1,850 services$0.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Ophthalmology
1111 DELAFIELD ST, SUITE 312
WAUKESHA, WI 53188
Physician Assistant
1111 DELAFIELD ST, SUITE 209
WAUKESHA, WI 53188
Specialist/Technologist (Athletic Trainer)
1111 DELAFIELD ST, STE 120
WAUKESHA, WI 53188
Clinic/Center (Radiology)
1111 DELAFIELD ST
WAUKESHA, WI 53188
Dentist (General Practice)
1111 DELAFIELD ST, #319
WAUKESHA, WI 53188
Nurse Practitioner (Family)
1111 DELAFIELD ST, SUITE 215
WAUKESHA, WI 53188
Physician Assistant
1111 DELAFIELD ST, STE 209
WAUKESHA, WI 53188
Physical Therapist
1111 DELAFIELD ST, SUITE 120
WAUKESHA, WI 53188

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 John Touzios's NPI number?

The NPI number for John Touzios is 1841369832. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is John Touzios located?

John Touzios practices at 1111 Delafield St Ste 209, Waukesha, WI 53188. The listed phone number is (262) 542-0444.

What is John Touzios's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John Touzios enrolled in Medicare?

Yes. John Touzios 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 John Touzios accept?

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

According to CMS data, John Touzios is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John Touzios was last updated on April 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.