DR. JEREMY ROBERT ANCLAM D.O.
NPI 1841495058
Internal Medicine - Gastroenterology in Manitowoc, WI

Active since June 18, 2007PECOS EnrolledAccepts Medicare Assignment
82.57/100
CMS Quality Rating
1900 WOODLAND DR, MANITOWOC, WI 54220(920) 320-6212(920) 684-5548 Get Directions Write a Review

NPPES record last updated: July 26, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jeremy Robert Anclam D.o. NPPES

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

DR. JEREMY ROBERT ANCLAM D.O. (NPI 1841495058) is an individual gastroenterology provider in Manitowoc, Wisconsin, licensed in Wisconsin (60788) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Holy Family Memorial, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1841495058
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JEREMY ROBERT ANCLAMCredential: D.O.
Location Address1900 WOODLAND DRManitowoc, WI 54220-9662
Mailing AddressPo Box 2290Manitowoc, WI 54221-2290 · (920) 320-2591 · Fax (920) 320-5106
Fax(920) 684-5548
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 18, 2007
Last NPPES UpdateJuly 26, 2013
✔ NPI 1841495058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in WI · 60788
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 5101017285 (MI)
1900 WOODLAND DR, Manitowoc, WI 54220

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

Dr. Jeremy Robert Anclam D.o. 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 ID5294975173
PECOS Enrollment IDI20130717000849
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jeremy Anclam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2300 WESTERN AVE
Manitowoc, WI 54220
  • Reassigned Medicare billing, Wisconsin enrollment
  • 350 clinicians in this Medicare group
Family Medicine
1036 W STEPHENSON ST
Freeport, IL 61032
  • Reassigned Medicare billing, Illinois enrollment
  • 391 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.

Areas of Expertise CMS Part B claims 13

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
150 services149 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
112 services108 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
74 services73 patients
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.
66 services41 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
48 services48 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.
45 services36 patients

Hospital Affiliations CMS Care Compare

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

Holy Family Memorial

Acute Care Hospitals · Manitowoc, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520107
Location2300 Western AveManitowoc, WI 54221 · Manitowoc County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54220 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
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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.

82.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.59
Promoting Interoperability92
Improvement Activities40
Cost58.04

Other Providers at the Same Location NPPES 10

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

Internal Medicine
1900 WOODLAND DR
MANITOWOC, WI 54220
Dietitian, Registered
1900 WOODLAND DR
MANITOWOC, WI 54220
Internal Medicine
1900 WOODLAND DR
MANITOWOC, WI 54220
Internal Medicine
1900 WOODLAND DR
MANITOWOC, WI 54220
Internal Medicine
1900 WOODLAND DR
MANITOWOC, WI 54220
Internal Medicine (Gastroenterology)
1900 WOODLAND DR
MANITOWOC, WI 54220
Nurse Practitioner
1900 WOODLAND DR
MANITOWOC, WI 54220
Nurse Practitioner
1900 WOODLAND DR
MANITOWOC, WI 54220

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 Jeremy Anclam's NPI number?

The NPI number for Jeremy Anclam is 1841495058. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Jeremy Anclam located?

Jeremy Anclam practices at 1900 Woodland Dr, Manitowoc, WI 54220. The listed phone number is (920) 320-6212.

What is Jeremy Anclam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jeremy Anclam enrolled in Medicare?

Yes. Jeremy Anclam 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 Jeremy Anclam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Anclam reassigns Medicare benefits to 2 organizations: Froedtert Manitowoc Medical Group, LLC (Manitowoc, WI) and Freeport Regional Health Care Foundation (Freeport, IL). 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 Jeremy Anclam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeremy Anclam accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners and Network Health list Jeremy Anclam 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 Jeremy Anclam affiliated with any hospitals?

According to CMS data, Jeremy Anclam is affiliated with Holy Family Memorial.

When was this NPI record last updated?

The NPPES record for Jeremy Anclam was last updated on July 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.