JOANNA SETLA MD
NPI 1982684163
Internal Medicine in Eau Claire, WI

Q: What is Joanna Setla's NPI number?

The NPI number for Joanna Setla is 1982684163. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Q: What is Joanna Setla's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Joanna Setla was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment

1400 BELLINGER ST, EAU CLAIRE, WI 54703(715) 838-5222 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 10, 2025, Jan 3, 2022, Sep 14, 2020 and 1 more (4 updates tracked since 2019).

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About Joanna Setla Md NPPES

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

JOANNA SETLA MD (NPI 1982684163) is an individual internal medicine provider in Eau Claire, Wisconsin, licensed in Wisconsin (39430) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System Eau Claire Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1982684163

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameJOANNA SETLACredential: MD

Location Address1400 BELLINGER STEau Claire, WI 54703-5222

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (715) 838-5222

Phone(715) 838-5222

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateJanuary 23, 2006

Last NPPES UpdateFebruary 10, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2025

✔ NPI 1982684163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WI · 39430

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.

1400 BELLINGER ST, Eau Claire, WI 54703

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Accepted Insurance

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

Joanna Setla 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 ID7618003674

PECOS Enrollment IDI20100329000854

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 5

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 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.

443 services333 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.

157 services139 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.

28 services28 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

27 services21 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Mayo Clinic Health System Eau Claire Hospital

Acute Care Hospitals · Eau Claire, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520070

Location1221 Whipple StEau Claire, WI 54703 · Eau Claire County

Emergency services Birthing friendly

Mayo Clinic Health System Oakridge

Critical Access Hospitals · Osseo, WI

OwnershipVoluntary non-profit - Other

CMS Certification Number521302

Location13025 8th StOsseo, WI 54758 · Trempealeau County

Emergency services

Mayo Clinic Health System Chippewa Valley

Critical Access Hospitals · Bloomer, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521314

Location1501 Thompson StBloomer, WI 54724 · Chippewa County

Emergency services

Mayo Clinic Health System-Northland

Critical Access Hospitals · Barron, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521315

Location1222 E Woodland AveBarron, WI 54812 · Barron County

Emergency services

Mayo Clinic Health System-Red Cedar Inc

Critical Access Hospitals · Menomonie, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521340

Location2321 Stout RdMenomonie, WI 54751 · Dunn County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54703 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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

14 suppliers88 claims267 services$5.99 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers20 claims36 services$1.12 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$21.30 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers54 claims54 services$92.04 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers32 claims32 services$31.97 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers19 claims19 services$15.82 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 20

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

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