NICHOLAS JOHN DRAEGER D.O.
NPI 1902031909
Surgery in Sheboygan, WI

Active since May 19, 2009PECOS EnrolledAccepts Medicare Assignment
3400 UNION AVE, SHEBOYGAN, WI 53081(920) 828-2700 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2023, Dec 1, 2021 (2 updates tracked since 2021).

About Nicholas John Draeger D.o. NPPES

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

NICHOLAS JOHN DRAEGER D.O. (NPI 1902031909) is an individual surgery provider in Sheboygan, Wisconsin, licensed in Wisconsin (62536) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Aurora Health Care Central Inc, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1902031909
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameNICHOLAS JOHN DRAEGERCredential: D.O.
Location Address3400 UNION AVESheboygan, WI 53081-8426
Mailing AddressPo Box 735044Chicago, IL 60673-5044
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 19, 2009
Last NPPES UpdateOctober 17, 20232 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
NPI 1902031909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in WI · 62536 Licensed in MI · 5101018109
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3400 UNION AVE, Sheboygan, WI 53081

Other Identifiers 1

Medicaid100038807WI

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

Nicholas John Draeger 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 ID8426274937
PECOS Enrollment IDI20140718000638
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
54 services25 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services36 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.
36 services36 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
26 services26 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.
25 services23 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Aurora Health Care Central Inc

Acute Care Hospitals · Sheboygan, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520035
Location3400 Union AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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.

Nurse Practitioner
3400 UNION AVE
SHEBOYGAN, WI 53081
Obstetrics & Gynecology
3400 UNION AVE
SHEBOYGAN, WI 53081
Nurse Practitioner (Family)
3400 UNION AVE
SHEBOYGAN, WI 53081
Physician Assistant
3400 UNION AVE
SHEBOYGAN, WI 53081
Hospitalist
3400 UNION AVE
SHEBOYGAN, WI 53081
Hospitalist
3400 UNION AVE
SHEBOYGAN, WI 53081
Emergency Medicine
3400 UNION AVE
SHEBOYGAN, WI 53081
Internal Medicine (Pulmonary Disease)
3400 UNION AVE
SHEBOYGAN, WI 53081

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 Nicholas Draeger's NPI number?

The NPI number for Nicholas Draeger is 1902031909. It was assigned to this individual provider in the NPPES registry on May 19, 2009.

Where is Nicholas Draeger located?

Nicholas Draeger practices at 3400 Union Ave, Sheboygan, WI 53081. The listed phone number is (920) 828-2700.

What is Nicholas Draeger's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nicholas Draeger enrolled in Medicare?

Yes. Nicholas Draeger 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 Nicholas Draeger accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Nicholas Draeger 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 Nicholas Draeger affiliated with any hospitals?

According to CMS data, Nicholas Draeger is affiliated with Aurora Health Care Central Inc.

When was this NPI record last updated?

The NPPES record for Nicholas Draeger was last updated on October 17, 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.