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DR. CARMEN L TERLIZZI M.D.
NPI 1902991680
Obstetrics & Gynecology in Wauwatosa, WI

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
3040 N 117TH ST, SUITE 200, WAUWATOSA, WI 53222(414) 778-0070(414) 778-0359 Get Directions Write a Review

NPPES record last updated: December 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Carmen L Terlizzi M.d. NPPES

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

DR. CARMEN L TERLIZZI M.D. (NPI 1902991680) is an individual obstetrics & gynecology provider in Wauwatosa, Wisconsin, licensed in Wisconsin (31400) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Se Wisconsin Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (1989).

NPPES Registry Identity

NPI1902991680
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. CARMEN L TERLIZZICredential: M.D.
Location Address3040 N 117TH ST, SUITE 200Wauwatosa, WI 53222-4129
Mailing Address3040 N 117th St, Suite 200Wauwatosa, WI 53222-4128 · (414) 778-0070 · Fax (414) 778-0359
Phone(414) 778-0070
Fax(414) 778-0359
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1989
Enumeration DateOctober 4, 2006
Last NPPES UpdateDecember 22, 2008
✔ NPI 1902991680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WI · 31400
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3040 N 117TH ST, Wauwatosa, WI 53222
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Other Identifiers 3

Medicaid31913400WI
Medicare UPINF52209WI
Medicare ID-Type Unspecified302714WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health.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. Carmen L Terlizzi 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 ID8426966540
PECOS Enrollment IDI20081117000537
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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53222 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
$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.

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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

Other Providers at the Same Location NPPES 12

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

MYA HARRIS LCSW
Social Worker
3040 N 117TH ST
WAUWATOSA, WI 53222
Milwaukee County (414) 479-9990
KAREN M WEGNER M.D.
Pediatrics
3040 N 117TH ST
WAUWATOSA, WI 53222
Milwaukee County (414) 479-9990
CHILDREN'S MEDICAL GROUP
Pediatrics
3040 N 117TH ST
WAUWATOSA, WI 53222
Milwaukee County (414) 479-9990
DR. JOCELYN K EICHE M.D.
Obstetrics & Gynecology
3040 N 117TH ST, SUITE 200
WAUWATOSA, WI 53222
Milwaukee County (414) 778-0070
DR. MATTHEW B LEE M.D.
Obstetrics & Gynecology
3040 N 117TH ST, SUITE 200
WAUWATOSA, WI 53222
Milwaukee County (414) 778-0070
EMILEE YAMDAGNI M.D.
Pediatrics
3040 N 117TH ST
WAUWATOSA, WI 53222
Milwaukee County (414) 479-9990
JEROME A ESSER M.D.
Pediatrics
3040 N 117TH ST
WAUWATOSA, WI 53222
Milwaukee County (414) 479-9990
KATHRYN CARNAHAN MD
Obstetrics & Gynecology
3040 N 117TH ST
WAUWATOSA, WI 53222
Milwaukee County (414) 778-0070

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 Carmen Terlizzi's NPI number?

The NPI number for Carmen Terlizzi is 1902991680. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Carmen Terlizzi located?

Carmen Terlizzi practices at 3040 N 117th St Suite 200, Wauwatosa, WI 53222. The listed phone number is (414) 778-0070.

What is Carmen Terlizzi's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Carmen Terlizzi enrolled in Medicare?

Yes. Carmen Terlizzi 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 Carmen Terlizzi accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Network Health list Carmen Terlizzi 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 Carmen Terlizzi affiliated with any hospitals?

According to CMS data, Carmen Terlizzi is affiliated with Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Carmen Terlizzi was last updated on December 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.