LING XIA MD
NPI 1932209129
Dermatology - Dermatopathology in Manitowoc, WI

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
83.31/100
CMS Quality Rating
801 YORK ST, MANITOWOC, WI 54220(920) 683-5278(920) 686-9674 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2023, Feb 24, 2021, May 5, 2020 and 1 more (4 updates tracked since 2017).

About Ling Xia Md NPPES

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

LING XIA MD (NPI 1932209129) is an individual dermatopathology provider in Manitowoc, Wisconsin, licensed in Wisconsin (46678-020) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1932209129
Entity TypeIndividualMale
Primary Taxonomy207ND0900X
Provider Legal NameLING XIACredential: MD
Location Address801 YORK STManitowoc, WI 54220-4630
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 683-5278 · Fax (920) 686-9674
Fax(920) 686-9674
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateSeptember 25, 2006
Last NPPES UpdateMarch 8, 20234 updates tracked since enumeration
NPPES CertifiedMarch 8, 2023
NPI 1932209129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
License Licensed in WI · 46678-020
Definition
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X · License 46678-20 (WI)
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 46678 (WI)
801 YORK ST, Manitowoc, WI 54220

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

Ling Xia 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 ID6800848656
PECOS Enrollment IDI20050221000217
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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
20,665 services13,883 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
1,366 services631 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
1,293 services1,139 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
737 services600 patients
Antibody evaluation, each additional single antibody stain procedure 88350
An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.
586 services145 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
556 services514 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54220 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.

83.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.38
Promoting Interoperability99
Improvement Activities40
Cost65.82

Reported Quality Measures

Melanoma Reporting
Pathology reports for primary malignant cutaneous melanoma that include the pT category and a statement on thickness and ulceration and for pT1, mitotic rate
100%351 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

Pathology (Anatomic Pathology & Clinical Pathology)
801 YORK ST
MANITOWOC, WI 54220
Pathology (Anatomic Pathology & Clinical Pathology)
801 YORK ST
MANITOWOC, WI 54220
Pathology (Anatomic Pathology & Clinical Pathology)
801 YORK ST
MANITOWOC, WI 54220
Pathology (Anatomic Pathology & Clinical Pathology)
801 YORK ST
MANITOWOC, WI 54220
Dermatology (Dermatopathology)
801 YORK ST
MANITOWOC, WI 54220
Dermatology (Dermatopathology)
801 YORK ST
MANITOWOC, WI 54220
Pathology (Dermatopathology)
801 YORK ST
MANITOWOC, WI 54220
Dermatology
801 YORK ST
MANITOWOC, WI 54220

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 Ling Xia's NPI number?

The NPI number for Ling Xia is 1932209129. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Ling Xia located?

Ling Xia practices at 801 York St, Manitowoc, WI 54220. The listed phone number is (920) 683-5278.

What is Ling Xia's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Is Ling Xia enrolled in Medicare?

Yes. Ling Xia 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 Ling Xia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Home State Health and 17 other insurers list Ling Xia 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.

When was this NPI record last updated?

The NPPES record for Ling Xia was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.