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TEDMOND R O'REILLY MD
NPI 1851408231
Family Medicine in Port Washington, WI

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
1475 W GRAND AVE, PORT WASHINGTON, WI 53074(262) 268-5100(262) 268-5115 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 22, 2021, Feb 2, 2017 (2 updates tracked since 2017).

About Tedmond R O'reilly Md NPPES

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

TEDMOND R O'REILLY MD (NPI 1851408231) is an individual family medicine provider in Port Washington, Wisconsin, licensed in Wisconsin (30480) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (1988).

NPPES Registry Identity

NPI1851408231
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTEDMOND R O'REILLYCredential: MD
Location Address1475 W GRAND AVEPort Washington, WI 53074
Mailing Address3003 W Good Hope RdMilwaukee, WI 53209-2042 · (414) 352-3100
Phone(262) 268-5100
Fax(262) 268-5115
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1988
Enumeration DateAugust 23, 2006
Last NPPES UpdateFebruary 11, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2026
✔ NPI 1851408231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 30480
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1475 W GRAND AVE, Port Washington, WI 53074
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Other Identifiers 2

OtherP00750288WI · Rr Medicare
Medicaid31556200WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Network Health.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

Tedmond R O'reilly 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 ID5890840227
PECOS Enrollment IDI20090908000360
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

10

Medicare enrollment records show Tedmond O'reilly reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aurora Advanced Healthcare, Inc.
17 mi
Family Medicine
3003 W GOOD HOPE RD
Milwaukee, WI 53209
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,615 clinicians in this Medicare group
NPI 1265629133 (414) 352-3100
Aurora Psychiatric Hospital, Inc.
24 mi
Psychiatric Hospital
1220 DEWEY AVE
Wauwatosa, WI 53213
  • Reassigned Medicare billing, Wisconsin enrollment
  • 13 clinicians in this Medicare group
NPI 1881627438 (414) 454-6600
Aurora Health Care Central, Inc.
25 mi
General Acute Care Hospital
3400 UNION AVE
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 34 clinicians in this Medicare group
NPI 1922053107 (920) 802-2100
Aurora Medical Group, Inc.
27 mi
Clinic/Center
2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1174670244 (920) 457-4461
Aurora Health Care Metro, Inc.
27 mi
General Acute Care Hospital
2900 W OKLAHOMA AVE
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 297 clinicians in this Medicare group
NPI 1861447179 (414) 649-6000
Lakeshore Medical Clinic, LLC
29 mi
Family Medicine
2000 E LAYTON AVE STE 100
Saint Francis, WI 53235
  • Reassigned Medicare billing, Wisconsin enrollment
  • 960 clinicians in this Medicare group
NPI 1003861188 (414) 744-6589
Aurora Health Care North, Inc.
53 mi
General Acute Care Hospital
5000 MEMORIAL DR
Two Rivers, WI 54241
  • Reassigned Medicare billing, Wisconsin enrollment
  • 55 clinicians in this Medicare group
NPI 1477508687 (920) 794-5000
Aurora Medical Center Of Oshkosh, Inc
56 mi
General Acute Care Hospital
855 N WESTHAVEN DR
Oshkosh, WI 54904
  • Reassigned Medicare billing, Wisconsin enrollment
  • 28 clinicians in this Medicare group
NPI 1275578064 (920) 456-6000
Amg Illinois Ltd
71 mi
Internal Medicine
45 TOWER CT, SUITE C
Gurnee, IL 60031
  • Reassigned Medicare billing, Wisconsin enrollment
  • 42 clinicians in this Medicare group
NPI 1972741759 (847) 623-3200
Baycare Aurora, LLC
75 mi
General Acute Care Hospital
2845 GREENBRIER RD
Green Bay, WI 54311
  • Reassigned Medicare billing, Wisconsin enrollment
  • 394 clinicians in this Medicare group
NPI 1255387726 (920) 288-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53074 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
$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.

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.

ERIK RILEY JEANES D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1475 W GRAND AVE
PORT WASHINGTON, WI 53074
Ozaukee County (262) 268-5100
LEGENDA GOODING APNP
Nurse Practitioner
1475 W GRAND AVE
PORT WASHINGTON, WI 53074
Ozaukee County (262) 268-5100
CATHERINE L TURNER APNP
Nurse Practitioner
1475 W GRAND AVE
PORT WASHINGTON, WI 53074
Ozaukee County (262) 268-5100
MATHEW OTTO
Physician Assistant
1475 W GRAND AVE
PORT WASHINGTON, WI 53074
Ozaukee County (262) 387-8585
MAJA KERN DPT
Physical Therapist
1475 W GRAND AVE
PORT WASHINGTON, WI 53074
Ozaukee County (262) 268-5100
AURORA PHARMACY INC
Pharmacy
1475 W GRAND AVE
PORT WASHINGTON, WI 53074
Ozaukee County (262) 268-5140
SCOT A WILFONG DO
Family Medicine
1475 W GRAND AVE
PORT WASHINGTON, WI 53074
Ozaukee County (262) 268-5100
BREANNE N BERES DPT, ATC
Physical Therapist
1475 W GRAND AVE
PORT WASHINGTON, WI 53074
Ozaukee County (262) 268-5100

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 Tedmond O'reilly's NPI number?

The NPI number for Tedmond O'reilly is 1851408231. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Tedmond O'reilly located?

Tedmond O'reilly practices at 1475 W Grand Ave, Port Washington, WI 53074. The listed phone number is (262) 268-5100.

What is Tedmond O'reilly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tedmond O'reilly enrolled in Medicare?

Yes. Tedmond O'reilly 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 Tedmond O'reilly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tedmond O'reilly reassigns Medicare benefits to 10 organizations: Aurora Advanced Healthcare, Inc. (Milwaukee, WI), Aurora Psychiatric Hospital, Inc. (Wauwatosa, WI), Aurora Health Care Central, Inc. (Sheboygan, WI), Aurora Medical Group, Inc. (Sheboygan, WI), Aurora Health Care Metro, Inc. (Milwaukee, WI) and 5 more organizations, listed in the Medicare section above. 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 Tedmond O'reilly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tedmond O'reilly accept?

Health plans from CareSource (Common Ground Healthcare) and Network Health list Tedmond O'reilly 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.

When was this NPI record last updated?

The NPPES record for Tedmond O'reilly was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.