1. Home
  2. Directory
  3. Wisconsin
  4. Oconto Falls
  5. Podiatrist
  6. NPI Profile

DR. WYATT ISAAC WIEDENFELD DPM
NPI 1912310152
Podiatrist in Oconto Falls, WI

Active since June 05, 2014PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
853 S MAIN ST, OCONTO FALLS, WI 54154(920) 496-4700 Get Directions Write a Review

NPPES record last updated: April 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 23, 2019, Jul 12, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Wyatt Isaac Wiedenfeld Dpm NPPES

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

DR. WYATT ISAAC WIEDENFELD DPM (NPI 1912310152) is an individual podiatrist in Oconto Falls, Wisconsin, licensed in Michigan (5901002524) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1912310152
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. WYATT ISAAC WIEDENFELDCredential: DPM
Location Address853 S MAIN STOconto Falls, WI 54154-1203
Mailing Address853 S Main St, Ste AOconto Falls, WI 54154-1212 · (920) 496-4700
Phone(920) 496-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 5, 2014
Last NPPES UpdateApril 23, 20194 updates tracked since enumeration
✔ NPI 1912310152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in MI · 5901002524
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
853 S MAIN ST, Oconto Falls, WI 54154
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, Security Health Plan.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. Wyatt Isaac Wiedenfeld Dpm 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 ID1557651601
PECOS Enrollment IDI20180731001170
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 9

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 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.
86 services51 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.
63 services53 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.
59 services59 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
38 services13 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.
33 services33 patients
X-ray of foot, 2 views 73620
An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.
17 services11 patients

Hospital Affiliations CMS Care Compare 2

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

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

Hshs St Clare Memorial Hospital

Critical Access Hospitals · Oconto Falls, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521310
Location855 S Main StOconto Falls, WI 54154 · Oconto County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54154 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.

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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

BIO-MEDICAL APPLICATIONS OF WISCONSIN, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
853 S MAIN ST
OCONTO FALLS, WI 54154
Oconto County (920) 848-6346
DESIRAE JO STEIER PT, DPT
Physical Therapist
853 S MAIN ST
OCONTO FALLS, WI 54154
Oconto County (920) 846-4680
DIANE M DRESHEK NP
Nurse Practitioner
853 S MAIN ST
OCONTO FALLS, WI 54154
Oconto County (920) 496-4700
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Durable Medical Equipment & Medical Supplies
853 S MAIN ST
OCONTO FALLS, WI 54154
Oconto County (920) 496-4700
BREANNA RAE SADOWSKI DPT
Physical Therapist
853 S MAIN ST
OCONTO FALLS, WI 54154
Oconto County (920) 496-4700
JUSTIN ALAN HOWE PT
Physical Therapist
853 S MAIN ST
OCONTO FALLS, WI 54154
Oconto County (920) 496-4700
ADVANCED PAIN MANAGEMENT SC
Durable Medical Equipment & Medical Supplies
853 S MAIN ST, SUITE B100
OCONTO FALLS, WI 54154
Oconto County (414) 325-7246
RANDI LYNN KLUGE PTA
Physical Therapy Assistant
853 S MAIN ST
OCONTO FALLS, WI 54154
Oconto County (920) 496-4700

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 Wyatt Wiedenfeld's NPI number?

The NPI number for Wyatt Wiedenfeld is 1912310152. It was assigned to this individual provider in the NPPES registry on June 5, 2014.

Where is Wyatt Wiedenfeld located?

Wyatt Wiedenfeld practices at 853 S Main St, Oconto Falls, WI 54154. The listed phone number is (920) 496-4700.

What is Wyatt Wiedenfeld's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Wyatt Wiedenfeld enrolled in Medicare?

Yes. Wyatt Wiedenfeld 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 Wyatt Wiedenfeld accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Security Health Plan list Wyatt Wiedenfeld 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 Wyatt Wiedenfeld affiliated with any hospitals?

According to CMS data, Wyatt Wiedenfeld is affiliated with St Vincent Hospital and Hshs St Clare Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Wyatt Wiedenfeld was last updated on April 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.