ROBERT B MACNACK M.D.
NPI 1881826790
Family Medicine in Monroe, WI

Q: What is Robert Macnack's NPI number?

The NPI number for Robert Macnack is 1881826790. It was assigned to this individual provider in the NPPES registry on August 12, 2009.

Q: What is Robert Macnack's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Robert Macnack was last updated on December 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 12, 2009PECOS EnrolledAccepts Medicare Assignment

515 22ND AVE, MONROE, WI 53566(608) 324-2000(405) 769-9689 Get Directions Write a Review

NPPES record last updated: December 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2020, Sep 19, 2018 (2 updates tracked since 2018).

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About Robert B Macnack M.d. NPPES

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

ROBERT B MACNACK M.D. (NPI 1881826790) is an individual family medicine provider in Monroe, Wisconsin, licensed in Wisconsin (69016-20) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with The Monroe Clinic, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1881826790

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameROBERT B MACNACKCredential: M.D.

Location Address515 22ND AVEMonroe, WI 53566-1569

Mailing Address515 22nd AveMonroe, WI 53566-1569 · (608) 324-2000 · Fax (405) 769-9689

Phone(608) 324-2000

Fax(405) 769-9689

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateAugust 12, 2009

Last NPPES UpdateDecember 31, 20202 updates tracked since enumeration

NPPES CertifiedDecember 31, 2020

✔ NPI 1881826790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WI · 69016-20✔ Licensed in OK · 28991

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.

515 22ND AVE, Monroe, WI 53566

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Other Identifiers 3

Medicaid200438910AOK

OtherP01243530OK · Medicare Railroad

Other28991OK · Ok License

Accepted Insurance

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

Robert B Macnack M.d. 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 ID6507021334

PECOS Enrollment IDI20180927000086, I20180927000132

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 11

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 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.

378 services234 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.

205 services205 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.

167 services121 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

75 services35 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

53 services50 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

32 services28 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

25 services11 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

22 services19 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.

20 services13 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

20 services20 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.

19 services14 patients

Hospital Affiliations CMS Care Compare

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

The Monroe Clinic

Acute Care Hospitals · Monroe, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520028

Location515 22nd AveMonroe, WI 53566 · Green County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53566 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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers71 claims129 services$5.48 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers26 claims28 services$0.85 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

3 suppliers11 claims830 services$0.23 avg. paid by Medicare

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181

DME-Other DME · category DE000N

1 supplier15 claims15 services$11.82 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$14.52 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

1 supplier12 claims12 services$42.21 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

NICOLE LYN CARRICO PHARM.D.

Pharmacist (Pharmacotherapy)

515 22ND AVE
MONROE, WI 53566

Green County (608) 324-1242

SUZANNE MARIE CURTISS FNP-BC

Nurse Practitioner (Family)

515 22ND AVE
MONROE, WI 53566

Green County (608) 324-2600

DR. MATTHEW M MICHALSKI MD

Emergency Medicine

515 22ND AVE
MONROE, WI 53566

Green County (608) 324-2000

ANNA METZ PHARM.D.

Pharmacist

515 22ND AVE
MONROE, WI 53566

Green County (608) 324-1242

MICHAEL ROESCH

Family Medicine

515 22ND AVE
MONROE, WI 53566

Green County (608) 324-2000

LINDSEY HOULE DNP, PMHNP-BC

Nurse Practitioner

515 22ND AVE
MONROE, WI 53566

Green County (608) 324-2000

MOHAMMAD SALEEM

Internal Medicine (Cardiovascular Disease)

515 22ND AVE
MONROE, WI 53566

Green County (608) 324-2000

NATALIE L. SEIBERT P.A.

Physician Assistant

515 22ND AVE, MONROE CLINIC
MONROE, WI 53566

Green County (608) 324-2222

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 Robert Macnack's NPI number?

The NPI number for Robert Macnack is 1881826790. It was assigned to this individual provider in the NPPES registry on August 12, 2009.

Where is Robert Macnack located?

Robert Macnack practices at 515 22nd Ave, Monroe, WI 53566. The listed phone number is (608) 324-2000.

What is Robert Macnack's specialty?

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

Is Robert Macnack enrolled in Medicare?

Yes. Robert Macnack 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 Robert Macnack accept?

Health plans from Anthem Blue Cross and Blue Shield and Quartz list Robert Macnack 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 Robert Macnack affiliated with any hospitals?

According to CMS data, Robert Macnack is affiliated with The Monroe Clinic.

When was this NPI record last updated?

The NPPES record for Robert Macnack was last updated on December 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.