BRUCE A SPATZ PA
NPI 1851323877
Physician Assistant in Wausau, WI

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
81.06/100
CMS Quality Rating
411 WESTWOOD DR, WAUSAU, WI 54401(715) 847-2558(715) 847-2752 Get Directions Write a Review

NPPES record last updated: August 11, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bruce A Spatz Pa NPPES

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

BRUCE A SPATZ PA (NPI 1851323877) is an individual physician assistant in Wausau, Wisconsin, licensed in Wisconsin (595) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1851323877
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRUCE A SPATZCredential: PA
Location Address411 WESTWOOD DRWausau, WI 54401-4152
Mailing Address411 Westwood DrWausau, WI 54401-4152 · (715) 847-2558 · Fax (715) 847-2752
Fax(715) 847-2752
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJuly 7, 2006
Last NPPES UpdateAugust 11, 2008
NPI 1851323877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 595
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

411 WESTWOOD DR, Wausau, WI 54401

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

Bruce A Spatz Pa 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 ID7810885738
PECOS Enrollment IDI20040310000766
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 4

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.
199 services131 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.
120 services112 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
40 services33 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

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
$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.

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.

81.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.09
Promoting Interoperability99
Improvement Activities40
Cost49.62

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.

Internal Medicine (Gastroenterology)
411 WESTWOOD DR
WAUSAU, WI 54401
Nurse Anesthetist, Certified Registered
411 WESTWOOD DR
WAUSAU, WI 54401
Nurse Anesthetist, Certified Registered
411 WESTWOOD DR
WAUSAU, WI 54401
Internal Medicine (Gastroenterology)
411 WESTWOOD DR
WAUSAU, WI 54401
Internal Medicine (Gastroenterology)
411 WESTWOOD DR
WAUSAU, WI 54401
Internal Medicine (Gastroenterology)
411 WESTWOOD DR
WAUSAU, WI 54401
Internal Medicine (Gastroenterology)
411 WESTWOOD DR
WAUSAU, WI 54401
Physician Assistant
411 WESTWOOD DR
WAUSAU, WI 54401

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 Bruce Spatz's NPI number?

The NPI number for Bruce Spatz is 1851323877. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Bruce Spatz located?

Bruce Spatz practices at 411 Westwood Dr, Wausau, WI 54401. The listed phone number is (715) 847-2558.

What is Bruce Spatz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Bruce Spatz enrolled in Medicare?

Yes. Bruce Spatz 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 Bruce Spatz accept?

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

According to CMS data, Bruce Spatz is affiliated with Aspirus Wausau Hospital.

When was this NPI record last updated?

The NPPES record for Bruce Spatz was last updated on August 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.