DAVID MILO HIRSCHI III MD
NPI 1891109039
Family Medicine - Sports Medicine in Appleton, WI

Active since June 16, 2014PECOS EnrolledAccepts Medicare Assignment
820 E GRANT ST, APPLETON, WI 54911(920) 831-5050(920) 738-6400 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2021, Nov 22, 2019, May 9, 2019 and 1 more (4 updates tracked since 2018).

About David Milo Hirschi Iii Md NPPES

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

DAVID MILO HIRSCHI III MD (NPI 1891109039) is an individual sports medicine provider in Appleton, Wisconsin, licensed in Wisconsin (72217) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Medical Center - Appleton Inc, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1891109039
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDAVID MILO HIRSCHI IIICredential: MD
Location Address820 E GRANT STAppleton, WI 54911
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 454-8208 · Fax (920) 993-5001
Fax(920) 738-6400
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 16, 2014
Last NPPES UpdateMay 4, 20214 updates tracked since enumeration
NPPES CertifiedMay 4, 2021
NPI 1891109039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Licenses Licensed in WI · 72217 Licensed in IN · 01080150A
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MRM-1386 (ID)
820 E GRANT ST, Appleton, WI 54911

Secondary Practice Locations 5

Location 1515 Read StEvansville, IN 47710 · Phone (812) 424-9291 · Fax (812) 421-2722
Location 210455 Orthopaedic DrNewburgh, IN 47630-7955 · Phone (812) 424-9291 · Fax (812) 421-2722
Location 35828 Pearl DrEvansville, IN 47712-8116 · Phone (812) 424-9291 · Fax (812) 421-2722
Location 44011 Gateway Blvd Ste 100Newburgh, IN 47630-8947 · Phone (812) 424-9291 · Fax (812) 421-2722
Location 5191 Memorial Dr Ste 100Berlin, WI 54923-1241 · Phone (920) 361-2500

Other Identifiers 1

Other000001175249IN · Anthem Bcbs

Accepted 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

David Milo Hirschi Iii 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 ID7719104926
PECOS Enrollment IDI20191125000247
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 13

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.
1,232 services149 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
204 services124 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.
103 services82 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.
78 services78 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.
50 services47 patients
Aspiration and/or injection of fluid from small joint using ultrasound guidance 20604
This procedure involves using ultrasound to accurately locate a small joint. A needle is then carefully inserted to remove fluid (aspiration) or inject medication. This can help diagnose or treat joint issues. It's generally safe and minimally invasive.
25 services15 patients

Hospital Affiliations CMS Care Compare 3

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 - New London

Critical Access Hospitals · New London, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521326
Location1405 Mill StNew London, WI 54961 · Waupaca County
Emergency services

Berlin Memorial Hospital

Critical Access Hospitals · Berlin, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521355
Location225 Memorial DriveBerlin, WI 54923 · Green Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 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 20

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

Physician Assistant
820 E GRANT ST
APPLETON, WI 54911
Nurse Practitioner
820 E GRANT ST
APPLETON, WI 54911
Orthopaedic Surgery
820 E GRANT ST
APPLETON, WI 54911
Nurse Practitioner
820 E GRANT ST
APPLETON, WI 54911
Nurse Practitioner (Acute Care)
820 E GRANT ST
APPLETON, WI 54911
Specialist/Technologist (Athletic Trainer)
820 E GRANT ST
APPLETON, WI 54911
Specialist/Technologist (Athletic Trainer)
820 E GRANT ST
APPLETON, WI 54911
Orthopaedic Surgery
820 E GRANT ST
APPLETON, WI 54911

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 David Hirschi's NPI number?

The NPI number for David Hirschi is 1891109039. It was assigned to this individual provider in the NPPES registry on June 16, 2014.

Where is David Hirschi located?

David Hirschi practices at 820 E Grant St, Appleton, WI 54911. The listed phone number is (920) 831-5050.

What is David Hirschi's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is David Hirschi enrolled in Medicare?

Yes. David Hirschi 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 David Hirschi 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 David Hirschi 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 David Hirschi affiliated with any hospitals?

According to CMS data, David Hirschi is affiliated with Thedacare Regional Medical Center - Appleton Inc, Thedacare Medical Center - New London and Berlin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for David Hirschi was last updated on May 4, 2021. 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.