DOUGLAS R BROWN MD
NPI 1992784904
Surgery in Wausau, WI

Active since January 10, 2006PECOS Enrolled
100/100
CMS Quality Rating
2400 PINE RIDGE BLVD, WAUSAU, WI 54401(715) 847-2022 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Douglas R Brown Md NPPES

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

DOUGLAS R BROWN MD (NPI 1992784904) is an individual surgery provider in Wausau, Wisconsin, licensed in Minnesota (40651) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992784904
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDOUGLAS R BROWNCredential: MD
Location Address2400 PINE RIDGE BLVDWausau, WI 54401-7803
Mailing Address2400 Pine Ridge BlvdWausau, WI 54401-7803 · (715) 847-2022
Sole ProprietorNo
Enumeration DateJanuary 10, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1992784904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MN · 40651
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2400 PINE RIDGE BLVD, Wausau, WI 54401

Other Identifiers 12

OtherNA2951023818MN · Preffered One
Medicaid062227300MN
Other0201111271MI · Blue Cross Pin
Other41084933956001C130Champus
Medicaid62227300WI
Other122980MN · Ucare
OtherHP26576MN · Health Partners
Medicaid5000030MI
Other1045807MN · Americas Ppo
Other020039235Rr Medicare
Other1700203MN · Medica
Other29B02BRMN · Bcbs

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 (PECOS)

Douglas R Brown 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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 15 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
83 services43 patients
Initial hospital inpatient care per day, typically 30 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
33 services33 patients
Leg revascularization (restoring blood flow) NAN01
Leg revascularization is a procedure aimed at restoring proper blood flow to your legs. It's often needed when blood vessels in your legs are blocked or narrowed. The process may involve surgery or less invasive methods to remove or bypass blockages, helping to alleviate pain and prevent serious complications.
0 services1 patient
Upper gastrointestinal (GI) endoscopy for acid reflux NAN12
An upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.
0 services1 patient

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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
Scored as part of a group practice
Quality97.02
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
6 suppliers16 claims351 services$4.63 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
5 suppliers20 claims792 services$0.19 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.

Surgery
2400 PINE RIDGE BLVD
WAUSAU, WI 54401
Surgery
2400 PINE RIDGE BLVD
WAUSAU, WI 54401
Surgery
2400 PINE RIDGE BLVD
WAUSAU, WI 54401
Surgery
2400 PINE RIDGE BLVD
WAUSAU, WI 54401
Specialist/Technologist, Other (Surgical Assistant)
2400 PINE RIDGE BLVD
WAUSAU, WI 54401
Specialist/Technologist, Other (Surgical Assistant)
2400 PINE RIDGE BLVD
WAUSAU, WI 54401
Specialist/Technologist, Other (Surgical Assistant)
2400 PINE RIDGE BLVD
WAUSAU, WI 54401
Specialist/Technologist, Other (Surgical Assistant)
2400 PINE RIDGE BLVD
WAUSAU, WI 54401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992784904, enumerated as an "individual" on January 10, 2006.

The provider is located at 2400 PINE RIDGE BLVD WAUSAU, WI 54401 and the phone number is (715) 847-2022.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to verify.