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BARBARA ANN HUMMEL MD
NPI 1972519361
Family Medicine in Greenfield, WI

Active since July 31, 2006PECOS Enrolled
4811 S 76TH ST STE 201, GREENFIELD, WI 53220(414) 604-0520(414) 604-0525 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2022, Apr 25, 2019 (2 updates tracked since 2019).

About Barbara Ann Hummel Md NPPES

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

BARBARA ANN HUMMEL MD (NPI 1972519361) is an individual family medicine provider in Greenfield, Wisconsin, licensed in Wisconsin (30414) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972519361
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBARBARA ANN HUMMELCredential: MD
Location Address4811 S 76TH ST STE 201Greenfield, WI 53220-4364
Mailing Address4811 S 76th St Ste 201Greenfield, WI 53220-4364 · (414) 604-0520 · Fax (414) 604-0525
Phone(414) 604-0520
Fax(414) 604-0525
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateDecember 15, 20222 updates tracked since enumeration
NPPES CertifiedDecember 15, 2022
✔ NPI 1972519361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 30414
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4811 S 76TH ST STE 201, Greenfield, WI 53220
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Other Identifiers 1

Medicaid31774000WI

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 (PECOS)

Barbara Ann Hummel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.
61 services27 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
30 services23 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53220 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
$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.

Referred Medical Equipment & Supplies CMS DME claims

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
4 suppliers13 claims16 services$5.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

BARBARA A HUMMEL, MD SC
Family Medicine
4811 S 76TH ST STE 201
GREENFIELD, WI 53220
Milwaukee County (414) 604-0520

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 Barbara Hummel's NPI number?

The NPI number for Barbara Hummel is 1972519361. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Barbara Hummel located?

Barbara Hummel practices at 4811 S 76th St Ste 201, Greenfield, WI 53220. The listed phone number is (414) 604-0520.

What is Barbara Hummel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Barbara Hummel enrolled in Medicare?

Yes. Barbara Hummel is registered in the Medicare PECOS enrollment system.

What insurance does Barbara Hummel accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Network Health list Barbara Hummel 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 Barbara Hummel was last updated on December 15, 2022. 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.