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SHANNON J. REINBOLD M.D.
NPI 1912065855
Internal Medicine in Grafton, WI

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
75.75/100
CMS Quality Rating
2061 CHEYENNE COURT, GRAFTON, WI 53024(262) 376-1934(262) 375-2076 Get Directions Write a Review

NPPES record last updated: March 18, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon J. Reinbold M.d. NPPES

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

SHANNON J. REINBOLD M.D. (NPI 1912065855) is an individual internal medicine provider in Grafton, Wisconsin, licensed in Wisconsin (20339-20) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Saint Louis University School Of Medicine (2005).

NPPES Registry Identity

NPI1912065855
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHANNON J. REINBOLDCredential: M.D.
Location Address2061 CHEYENNE COURTGrafton, WI 53024-9368
Mailing Address4425 N Port Washington Road, 3rd Floor, Csmcp Clinic CredentialingGlendale, WI 53212-1082 · (414) 326-2378 · Fax (414) 326-2155
Phone(262) 376-1934
Fax(262) 375-2076
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2005
Enumeration DateDecember 4, 2006
Last NPPES UpdateMarch 18, 2014
✔ NPI 1912065855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 20339-20
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.
Also ListedPediatricsTaxonomy 208000000X · License 50339-20 (WI)
2061 CHEYENNE COURT, Grafton, WI 53024
Open in Google Maps ↗

Other Names 1

Former Name (1)Shannon M. Johnson M.d.

Other Identifiers 2

Medicare PIN462364656WI
Medicare PIN019940421WI

Accepted Insurance

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

Shannon J. Reinbold 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 ID8325185614
PECOS Enrollment IDI20091019000343
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 4

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.

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.
182 services114 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
96 services96 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services25 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.
14 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53024 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.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability76
Improvement Activities40
Cost57.63

Referred Medical Equipment & Supplies CMS DME claims 2

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
7 suppliers14 claims27 services$5.75 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims11 services$0.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Shannon Reinbold's NPI number?

The NPI number for Shannon Reinbold is 1912065855. It was assigned to this individual provider in the NPPES registry on December 4, 2006. The provider is also known as Shannon M. Johnson M.D..

Where is Shannon Reinbold located?

Shannon Reinbold practices at 2061 Cheyenne Court, Grafton, WI 53024. The listed phone number is (262) 376-1934.

What is Shannon Reinbold's specialty?

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

Is Shannon Reinbold enrolled in Medicare?

Yes. Shannon Reinbold 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 Shannon Reinbold accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Shannon Reinbold 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 Shannon Reinbold affiliated with any hospitals?

According to CMS data, Shannon Reinbold is affiliated with Ascension Columbia St Mary's Hospital Milwaukee and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Shannon Reinbold was last updated on March 18, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.