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PATRICK FOSS MD
NPI 1851896898
Family Medicine in South Milwaukee, WI

Active since March 29, 2018PECOS EnrolledAccepts Medicare Assignment
3611 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172(414) 762-7270(414) 762-7864 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 12, 2024, Nov 18, 2021, Jun 29, 2021 and 3 more (6 updates tracked since 2018).

About Patrick Foss Md NPPES

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

PATRICK FOSS MD (NPI 1851896898) is an individual family medicine provider in South Milwaukee, Wisconsin, licensed in Wisconsin (73210) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Oshkosh, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1851896898
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePATRICK FOSSCredential: MD
Location Address3611 S CHICAGO AVESouth Milwaukee, WI 53172-3738
Mailing Address3611 S Chicago AveSouth Milwaukee, WI 53172-3738 · (414) 762-7270 · Fax (414) 762-7864
Phone(414) 762-7270
Fax(414) 762-7864
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 29, 2018
Last NPPES UpdateJuly 12, 20246 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
✔ NPI 1851896898 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 · 73210
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.
3611 S CHICAGO AVE, South Milwaukee, WI 53172
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Other Identifiers 1

Medicaid100099750WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Patrick Foss 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 ID5496176042
PECOS Enrollment IDI20210721001309
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 Patrick Foss reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lakeshore Medical Clinic Ltd
1.2 mi
Family Medicine
1100 MILWAUKEE AVE
South Milwaukee, WI 53172
  • Reassigned Medicare billing, Wisconsin enrollment
  • 960 clinicians in this Medicare group
NPI 1174851893 (414) 764-4003
Aurora Medical Group, Inc.
8.3 mi
Family Medicine
3301 W FOREST HOME AVE
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1427271378 (877) 576-3544

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 3

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.

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.
49 services41 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.
39 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520198
Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53172 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 9

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

LAKESHORE MEDICAL CLINIC, LLC
Durable Medical Equipment & Medical Supplies
3611 S CHICAGO AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 762-7270
SANDHYA SUREDDI MD
Internal Medicine
3611 S CHICAGO AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 762-7270
DR. JILL C LYONS DPT
Physical Therapist
3611 S CHICAGO AVE, SUTIE 120
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 766-2440
MADELINE PRESTON OTD
Occupational Therapist
3611 S CHICAGO AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 766-2440
JOHN P VIEAU PA
Physician Assistant (Medical)
3611 S CHICAGO AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 762-7270
DREW GUNDERSON MD
Family Medicine
3611 S CHICAGO AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 762-7270
KATIE J RASMUSSEN PA-C
Physician Assistant
3611 S CHICAGO AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 762-7270
DR. JILLIAN HUYCK HUDSON MD
Family Medicine
3611 S CHICAGO AVE, SUITE 100
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 762-7270

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 Patrick Foss's NPI number?

The NPI number for Patrick Foss is 1851896898. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is Patrick Foss located?

Patrick Foss practices at 3611 S Chicago Ave, South Milwaukee, WI 53172. The listed phone number is (414) 762-7270.

What is Patrick Foss's specialty?

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

Is Patrick Foss enrolled in Medicare?

Yes. Patrick Foss 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 Patrick Foss's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Foss reassigns Medicare benefits to 2 organizations: Lakeshore Medical Clinic Ltd (South Milwaukee, WI) and Aurora Medical Group, Inc. (Milwaukee, WI). 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 Patrick Foss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patrick Foss accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Patrick Foss 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 Patrick Foss affiliated with any hospitals?

According to CMS data, Patrick Foss is affiliated with Aurora Medical Ctr Oshkosh.

When was this NPI record last updated?

The NPPES record for Patrick Foss was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.