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TROY D SENNHOLZ MD
NPI 1861410110
Family Medicine in Medford, WI

Active since July 17, 2006PECOS Enrolled
100/100
CMS Quality Rating
135 SOUTH GIBSON, MEDFORD, WI 54451(715) 748-8100(715) 748-7590 Get Directions Write a Review

NPPES record last updated: May 14, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Troy D Sennholz Md NPPES

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

TROY D SENNHOLZ MD (NPI 1861410110) is an individual family medicine provider in Medford, Wisconsin, licensed in Wisconsin (41021) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861410110
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTROY D SENNHOLZCredential: MD
Location Address135 SOUTH GIBSONMedford, WI 54451
Mailing Address135 South Gibson StreetMedford, WI 54451 · (715) 748-8100
Phone(715) 748-8100
Fax(715) 748-7590
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateMay 14, 2012
✔ NPI 1861410110 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 · 41021
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.
135 SOUTH GIBSON, Medford, WI 54451
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Other Identifiers 3

Medicaid32589300WI
Medicare UPING90072WI
Medicare ID-Type Unspecified002836060WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Troy D Sennholz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Troy Sennholz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aspirus Medford Hospital & Clinics, Inc.
Same address
Rehabilitation
103 SOUTH GIBSON ST
Medford, WI 54451
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1619079597 (Wisconsin)
  • 341 clinicians in this Medicare group
NPI 1104922814 (715) 748-8112
Aspirus Merrill Hospital & Clinics, Inc.
33 mi
Critical Access
601 S CENTER AVE
Merrill, WI 54452
  • Reassigned Medicare billing, Wisconsin enrollment
  • 351 clinicians in this Medicare group
NPI 1124084678 (715) 536-5511
Black River Health Inc
63 mi
Medicare Defined Swing Bed Unit
711 W ADAMS ST
Black River Falls, WI 54615
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1811940331 (Wisconsin)
  • 227 clinicians in this Medicare group
NPI 1003914011 (715) 284-5361

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 54451 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

STEVEN FREDRICK HANSEN MD
Emergency Medicine
135 SOUTH GIBSON
MEDFORD, WI 54451
Taylor County (715) 748-8100

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 Troy Sennholz's NPI number?

The NPI number for Troy Sennholz is 1861410110. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Troy Sennholz located?

Troy Sennholz practices at 135 South Gibson, Medford, WI 54451. The listed phone number is (715) 748-8100.

What is Troy Sennholz's specialty?

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

Is Troy Sennholz enrolled in Medicare?

Yes. Troy Sennholz is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Troy Sennholz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Troy Sennholz reassigns Medicare benefits to 3 organizations: Aspirus Medford Hospital & Clinics, Inc. (Medford, WI), Aspirus Merrill Hospital & Clinics, Inc. (Merrill, WI) and Black River Health Inc (Black River Falls, 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 Troy Sennholz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Troy Sennholz accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and HealthPartners list Troy Sennholz 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 Troy Sennholz was last updated on May 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.