DR. MICHAEL ALAN PRICE MD
NPI 1932204146
Radiology - Diagnostic Radiology in Pleasant Prairie, WI

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
9555 76TH ST, PLEASANT PRAIRIE, WI 53158(262) 656-2211 Get Directions Write a Review

NPPES record last updated: December 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Alan Price Md NPPES

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

DR. MICHAEL ALAN PRICE MD (NPI 1932204146) is an individual diagnostic radiology provider in Pleasant Prairie, Wisconsin, licensed in Wisconsin (50414-20) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and maintains a secondary practice location in Kenosha.

NPPES Registry Identity

NPI1932204146
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MICHAEL ALAN PRICECredential: MD
Location Address9555 76TH STPleasant Prairie, WI 53158-1984
Mailing Address111 E Wisconsin Ave, Suite 2000Milwaukee, WI 53202-4815 · (414) 290-6720 · Fax (414) 290-6755
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 1989
Enumeration DateSeptember 13, 2006
Last NPPES UpdateDecember 24, 2021
NPPES CertifiedDecember 23, 2021
NPI 1932204146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in WI · 50414-20 Licensed in CA · G70181
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
9555 76TH ST, Pleasant Prairie, WI 53158

Secondary Practice Location 1

Location 16308 8th AveKenosha, WI 53143-5031 · Phone (414) 290-6720 · Fax (414) 290-6755

Other Identifiers 4

Medicaid1932204146IL
Medicaid1932204146WI
OtherP00761614WI · Medicare Railroad
Medicaid00G701810CA

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. Michael Alan Price 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 ID9234171521
PECOS Enrollment IDI20070720000338
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 35

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
322 services267 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
134 services125 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
131 services120 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
101 services101 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
101 services101 patients
Ct scan of chest with contrast 71260
A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
70 services63 patients

Hospital Affiliations CMS Care Compare 2

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

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Aspirus Riverview Hospital & Clinics Inc

Acute Care Hospitals · Wisconsin Rapids, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520033
Location410 Dewey StWisconsin Rapids, WI 54495 · Wood County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53158 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality96.16
Improvement Activities40

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.

General Acute Care Hospital
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Family Medicine
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Dietitian, Registered
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Radiology (Vascular & Interventional Radiology)
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Internal Medicine
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Dietitian, Registered
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Hospitalist
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Dietitian, Registered
9555 76TH ST
PLEASANT PRAIRIE, WI 53158

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 Michael Price's NPI number?

The NPI number for Michael Price is 1932204146. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Michael Price located?

Michael Price practices at 9555 76th St, Pleasant Prairie, WI 53158. The listed phone number is (262) 656-2211.

What is Michael Price's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Michael Price enrolled in Medicare?

Yes. Michael Price 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 Michael Price accept?

Health plans from CareSource (Common Ground Healthcare) list Michael Price 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 Michael Price affiliated with any hospitals?

According to CMS data, Michael Price is affiliated with Aspirus Wausau Hospital and Aspirus Riverview Hospital & Clinics Inc.

When was this NPI record last updated?

The NPPES record for Michael Price was last updated on December 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.