DR. JOSHUA JAMES SAMPSON D.O.
NPI 1861616013
Obstetrics & Gynecology in Marshfield, WI

Active since April 12, 2007PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
1000 N OAK AVE, MARSHFIELD, WI 54449(715) 387-5161 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Joshua James Sampson D.o. NPPES

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

DR. JOSHUA JAMES SAMPSON D.O. (NPI 1861616013) is an individual obstetrics & gynecology provider in Marshfield, Wisconsin, licensed in Wisconsin (52518) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1861616013
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JOSHUA JAMES SAMPSONCredential: D.O.
Location Address1000 N OAK AVEMarshfield, WI 54449-5703
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5161
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 12, 2007
Last NPPES UpdateNovember 21, 2023
NPPES CertifiedNovember 21, 2023
✔ NPI 1861616013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WI · 52518
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 5132 (NE), 52518 (WI)
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License 5132 (NE), 52518 (WI)
1000 N OAK AVE, Marshfield, WI 54449

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. Joshua James Sampson 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 ID1153485669
PECOS Enrollment IDI20090128000463
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 Joshua Sampson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
Same address
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
Obstetrics & Gynecology
1818 N MEADE ST
Appleton, WI 54911
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Womens Health Specialists Sc
  • 25 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.

Hospital Affiliations CMS Care Compare 3

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

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54449 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
$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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.68
Promoting Interoperability99
Improvement Activities40
Cost54.87

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.

Obstetrics & Gynecology
1000 N OAK AVE
MARSHFIELD, WI 54449
Nurse Practitioner
1000 N OAK AVE
MARSHFIELD, WI 54449
Dietitian, Registered
1000 N OAK AVE
MARSHFIELD, WI 54449
Student in an Organized Health Care Education/Training Program
1000 N OAK AVE
MARSHFIELD, WI 54449
Physician Assistant
1000 N OAK AVE
MARSHFIELD, WI 54449
Nurse Anesthetist, Certified Registered
1000 N OAK AVE
MARSHFIELD, WI 54449
Internal Medicine
1000 N OAK AVE
MARSHFIELD, WI 54449
Radiology (Vascular & Interventional Radiology)
1000 N OAK AVE
MARSHFIELD, WI 54449

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 Joshua Sampson's NPI number?

The NPI number for Joshua Sampson is 1861616013. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is Joshua Sampson located?

Joshua Sampson practices at 1000 N Oak Ave, Marshfield, WI 54449. The listed phone number is (715) 387-5161.

What is Joshua Sampson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Joshua Sampson enrolled in Medicare?

Yes. Joshua Sampson 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 Joshua Sampson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Sampson reassigns Medicare benefits to 3 organizations: Marshfield Clinic Inc (Marshfield, WI), Mchs Hospitals Inc (Marshfield, WI) and Women's Health Specialists, S.C. (Appleton, 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 Joshua Sampson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joshua Sampson accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and Network Health and 2 other insurers list Joshua Sampson 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 Joshua Sampson affiliated with any hospitals?

According to CMS data, Joshua Sampson is affiliated with Marshfield Medical Center, Thedacare Regional Med Ctr - Neenah and Thedacare Regional Medical Center - Appleton Inc.

When was this NPI record last updated?

The NPPES record for Joshua Sampson was last updated on November 21, 2023. 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.