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TRACI A. PURATH M.D.
NPI 1891716700
Psychiatry & Neurology - Neurology in Burlington, WI

Active since July 23, 2006PECOS EnrolledAccepts Medicare Assignment
97.28/100
CMS Quality Rating
565 MILWAUKEE AVE, SUITE 2-C, BURLINGTON, WI 53105(262) 694-5000(262) 661-4606 Get Directions Write a Review

NPPES record last updated: August 13, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Traci A. Purath M.d. NPPES

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

TRACI A. PURATH M.D. (NPI 1891716700) is an individual neurology provider in Burlington, Wisconsin, licensed in Wisconsin (40525-020) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1891716700
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameTRACI A. PURATHCredential: M.D.
Location Address565 MILWAUKEE AVE, SUITE 2-CBurlington, WI 53105-1254
Mailing Address5244 Zachary DrMount Pleasant, WI 53403-9795 · (262) 694-5000 · Fax (262) 661-4606
Phone(262) 694-5000
Fax(262) 661-4606
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 23, 2006
Last NPPES UpdateAugust 13, 2014
✔ NPI 1891716700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in WI · 40525-020
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
565 MILWAUKEE AVE, Burlington, WI 53105
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Other Identifiers 2

Medicaid34234000WI
Medicare UPINH73739

Accepted Insurance

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

Traci A. Purath 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 ID4385661396
PECOS Enrollment IDI20051028000774
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 Reassignment

Medicare enrollment records show Traci Purath reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Center For Neurological Disorders, Sc
27 mi
Neurology
3237 S 16TH ST
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 9 clinicians in this Medicare group
NPI 1649223041 (414) 769-4040

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
9,598 services21 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.
105 services66 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.
100 services61 patients
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
56 services20 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53105 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
$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.

97.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.78
Promoting Interoperability98.23
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

MS. CONNIE PHILLIPS CROWDER LCSW
Social Worker (Clinical)
565 MILWAUKEE AVE, SUITE 3C
BURLINGTON, WI 53105
Racine County (262) 757-0016
BURLINGTON BEHAVIORAL HEALTH, LLC
Psychologist (Clinical)
565 MILWAUKEE AVE, SUITE 3C
BURLINGTON, WI 53105
Racine County (262) 757-0016
PURATH HEADACHE & NEUROLOGY, S.C.
Psychiatry & Neurology (Neurology)
565 MILWAUKEE AVE
BURLINGTON, WI 53105
Racine County (262) 694-5000

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 Traci Purath's NPI number?

The NPI number for Traci Purath is 1891716700. It was assigned to this individual provider in the NPPES registry on July 23, 2006.

Where is Traci Purath located?

Traci Purath practices at 565 Milwaukee Ave Suite 2-C, Burlington, WI 53105. The listed phone number is (262) 694-5000.

What is Traci Purath's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Traci Purath enrolled in Medicare?

Yes. Traci Purath 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 organization bills Medicare for Traci Purath's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Traci Purath reassigns Medicare benefits to Center For Neurological Disorders, Sc (Milwaukee, WI). The 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 Traci Purath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Traci Purath accept?

Health plans from Anthem Blue Cross and Blue Shield list Traci Purath 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 Traci Purath was last updated on August 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.