DR. JAMES DAVID KUPLIC MD
NPI 1871546507
Orthopaedic Surgery in Appleton, WI

Q: What is James Kuplic's NPI number?

The NPI number for James Kuplic is 1871546507. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is James Kuplic's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for James Kuplic was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment

2105 E ENTERPRISE AVE, APPLETON, WI 54913(920) 560-1000(920) 731-6732 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 19, 2024, Mar 15, 2023 (2 updates tracked since 2023).

On this page

About Dr. James David Kuplic Md NPPES

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

DR. JAMES DAVID KUPLIC MD (NPI 1871546507) is an individual orthopaedic surgery provider in Appleton, Wisconsin, licensed in Wisconsin (37759) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Medical Center - Appleton Inc, and is a graduate of Washington University School Of Medicine (1991).

NPPES Registry Identity

NPI1871546507

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. JAMES DAVID KUPLICCredential: MD

Location Address2105 E ENTERPRISE AVEAppleton, WI 54913-7862

Mailing Address2105 E Enterprise AveAppleton, WI 54913-7862 · (920) 560-1000 · Fax (920) 731-6732

Phone(920) 560-1000

Fax(920) 731-6732

Sole ProprietorNo

Medical School CMSWashington University School Of MedicineGraduated 1991

Enumeration DateMay 17, 2006

Last NPPES UpdateDecember 19, 20242 updates tracked since enumeration

NPPES CertifiedDecember 19, 2024

✔ NPI 1871546507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in WI · 37759

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

2105 E ENTERPRISE AVE, Appleton, WI 54913

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Other Identifiers 1

Medicaid32242000WI

Accepted Insurance

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

Dr. James David Kuplic 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 ID2163412479

PECOS Enrollment IDI20050901000305

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 12

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

817 services66 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

94 services60 patients

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.

77 services65 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

60 services51 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.

55 services52 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

50 services38 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

36 services36 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

34 services30 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

32 services30 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

31 services25 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

29 services29 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

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

Thedacare Medical Center - Shawano

Critical Access Hospitals · Shawano, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521346

Location100 County Rd BShawano, WI 54166 · Shawano County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54913 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.

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.

ORTHOPEDIC AND SPORTS INSTITUTE OF THE FOX VALLEY S C

Orthopaedic Surgery

2105 E ENTERPRISE AVE
APPLETON, WI 54913

Outagamie County (920) 560-1000

LYNDSEY S MAVES PA-C

Physician Assistant

2105 E ENTERPRISE AVE
APPLETON, WI 54913

Outagamie County (920) 560-1000

SHERYL A GAUTHIER PA-C

Physician Assistant

2105 E ENTERPRISE AVE
APPLETON, WI 54913

Outagamie County (920) 560-1000

KENNETH L. SCHAUFELBERGER, M.D., S.C.

Specialist

2105 E ENTERPRISE AVE
APPLETON, WI 54913

Outagamie County (920) 731-3311

MRS. KIM MARIE WILLISON APNP

Nurse Practitioner (Adult Health)

2105 E ENTERPRISE AVE, STE 111
APPLETON, WI 54913

Outagamie County (920) 731-6611

DR. TODD SCHUBKEGEL M.D.

Orthopaedic Surgery

2105 E ENTERPRISE AVE
APPLETON, WI 54913

Outagamie County (920) 560-1000

BRADLEY JAMES BORGEN APNP

Nurse Practitioner

2105 E ENTERPRISE AVE
APPLETON, WI 54913

Outagamie County (920) 560-1000

MRS. HILLARY ANN BASHAW APNP FNP-BC

Nurse Practitioner

2105 E ENTERPRISE AVE
APPLETON, WI 54913

Outagamie County (920) 333-8878

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 James Kuplic's NPI number?

The NPI number for James Kuplic is 1871546507. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is James Kuplic located?

James Kuplic practices at 2105 E Enterprise Ave, Appleton, WI 54913. The listed phone number is (920) 560-1000.

What is James Kuplic's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Kuplic enrolled in Medicare?

Yes. James Kuplic 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 James Kuplic accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list James Kuplic 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 James Kuplic affiliated with any hospitals?

According to CMS data, James Kuplic is affiliated with Thedacare Regional Medical Center - Appleton Inc and Thedacare Medical Center - Shawano.

When was this NPI record last updated?

The NPPES record for James Kuplic was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.