DR. THOMAS TACKMAN MD
NPI 1902802416
Internal Medicine in Fort Atkinson, WI

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment
611 SHERMAN AVE E, FORT ATKINSON, WI 53538(920) 563-5571(920) 563-7705 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2025, Mar 7, 2023, Oct 7, 2022 (3 updates tracked since 2022).

About Dr. Thomas Tackman Md NPPES

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

DR. THOMAS TACKMAN MD (NPI 1902802416) is an individual internal medicine provider in Fort Atkinson, Wisconsin, licensed in Wisconsin (30509) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Fort Memorial Hospital, and maintains a secondary practice location in Whitewater.

NPPES Registry Identity

NPI1902802416
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. THOMAS TACKMANCredential: MD
Location Address611 SHERMAN AVE EFort Atkinson, WI 53538-1960
Mailing AddressPo Box 249Fort Atkinson, WI 53538-0249 · (920) 563-5571 · Fax (920) 563-7705
Fax(920) 563-7705
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1988
Enumeration DateJune 21, 2005
Last NPPES UpdateDecember 17, 20253 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
NPI 1902802416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WI · 30509
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

611 SHERMAN AVE E, Fort Atkinson, WI 53538

Secondary Practice Location 1

Location 11461 W Main StWhitewater, WI 53190-1568 · Phone (262) 473-5888

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

Dr. Thomas Tackman 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 ID9537260591
PECOS Enrollment IDI20070720000859
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

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.

Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227
An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520071
Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53538 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.

Referred Medical Equipment & Supplies CMS DME claims 31

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
15 suppliers93 claims217 services$6.34 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers35 claims44 services$1.15 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers23 claims23 services$43.36 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers25 claims25 services$118.83 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers23 claims59 services$43.96 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers18 claims99 services$21.63 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.

Nurse Practitioner
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Physician Assistant
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Emergency Medicine
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Psychiatry & Neurology (Neurology)
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Social Worker
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Physical Therapist
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Nurse Anesthetist, Certified Registered
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Nurse Practitioner (Adult Health)
611 SHERMAN AVE E
FORT ATKINSON, WI 53538

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 Thomas Tackman's NPI number?

The NPI number for Thomas Tackman is 1902802416. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Thomas Tackman located?

Thomas Tackman practices at 611 Sherman Ave E, Fort Atkinson, WI 53538. The listed phone number is (920) 563-5571.

What is Thomas Tackman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Thomas Tackman enrolled in Medicare?

Yes. Thomas Tackman 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 Thomas Tackman accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, MercyCare Health Plans and Quartz list Thomas Tackman 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 Thomas Tackman affiliated with any hospitals?

According to CMS data, Thomas Tackman is affiliated with Fort Memorial Hospital and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Thomas Tackman was last updated on December 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.