NPIMap

Bret Keenan Stysly, M.D.

Individual provider Active NPI Internal Medicine Physician · Augusta, GA

NPI 1104188416 · NPPES record last updated Aug 27, 2015

Key facts

NPI
1104188416
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
73402 (GA)
Practice address
1120 15TH St
Augusta, GA 30912-0004
Phone
(203) 430-0624
NPI assigned
Jun 12, 2012
Sex
Male
Sole proprietor
No

Organizations & group practices 46

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 46

Hospital & facility affiliations 33

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 33

Medicare Care Compare profile

Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc. (566 clinicians)
Aspirus Wausau Hospital Inc (242 clinicians)
Oak Medical SC (118 clinicians)

Practice addresses (Care Compare)

1630 Chippewa Dr
Rhinelander, WI 54501-9503
Phone (715) 361-5480

333 Pine Ridge Blvd
Wausau, WI 54401-4102

333 Pine Ridge Blvd
Wausau, WI 54401-4120
Phone (715) 847-2121

425 Pine Ridge Blvd
Wausau, WI 54401-4123

700 Clark St
Lodi, WI 53555-1010
Phone (608) 592-3241

Hospital & facility affiliations

  • Aspirus Wausau Hospital Hospital · Wausau, WI · CCN 520030
  • Aspirus Stevens Point Hospital & Clinics, Inc. Hospital · Stevens Point, WI · CCN 520002
  • Aspirus Riverview Hospital & Clinics Inc Hospital · Wisconsin Rapids, WI · CCN 520033
  • Langlade Hospital Hospital · Antigo, WI · CCN 521350
  • Aspirus Rhinelander Hospital Hospital · Rhinelander, WI · CCN 520019
  • North Central Health Care Nursing home · Wausau, WI · CCN 525132

Merit-based Incentive Payment System (MIPS)

Final score
86.2 of 100 (group)
Quality
84.08
Promoting interoperability
100
Improvement activities
40
Cost
64.31

Merit-based Incentive Payment System (MIPS)

Final score
90.56 of 100 (group)
Quality
87.43
Promoting interoperability
100
Improvement activities
40
Cost
78.24

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in GA, WI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150901003257 GA Practitioner - Internal Medicine 8224344544 Reassigns benefits to 1 organization
I20180702002370 WI Practitioner - Internal Medicine 8224344544 Reassigns benefits to 10 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Medford Hospital & Clinics, Inc. Current
since Mar 9, 2019		 Accepting new patients
Aspirus Wausau Hospital, Inc. Current
since Jul 1, 2018		 Accepting new patients
Aspirus Medical Group, Inc. Current
since Mar 2, 2020		 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. Current
since Jan 30, 2024		 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Divine Savior Healthcare, Inc. Current
since Mar 1, 2021		 Accepting new patients
Wellstar MCG Health Warm Springs, Inc. Current
since Jul 1, 2014		 Accepting new patients
Maple Medical SC Internal Medicine Current
since Dec 1, 2024		 Accepting new patients
Aspirus Wausau Hospital, Inc. Internal Medicine Current Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. Current
since Sep 22, 2023		 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. Current Accepting new patients
Divine Savior Healthcare, Inc. Current
since Mar 1, 2021		 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Oak Medical SC Internal Medicine Current
since Dec 1, 2024		 Accepting new patients
Wellstar MCG Health Warm Springs, Inc. Internal Medicine Current
since Jul 1, 2014		 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. Current
since Jan 30, 2024		 Accepting new patients
Aspirus Medical Group, Inc. Current
since Mar 2, 2020		 Accepting new patients
Aspirus Wausau Hospital, Inc. Current
since Jul 1, 2018		 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. Current
since Dec 1, 2021		 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current
since Mar 9, 2019		 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. Current
since Sep 22, 2023		 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. Current
since Dec 1, 2021		 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients

Locations

6135 Roosevelt Hwy
Warm Springs, GA 31830
Phone (706) 655-5461

29980 Network Pl
Chicago, IL 60673

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

700 Clark St
Lodi, WI 53555
Phone (608) 592-3241

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

1630 N Chippewa Dr
Rhinelander, WI 54501
Phone (715) 361-5480

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

209 Prentice St N
Stevens Point, WI 54481
Phone (715) 344-4611

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

N20W22961 Watertown Rd
Waukesha, WI 53186
Phone (262) 875-5070

190 Grand Seasons Dr
Waupaca, WI 54981
Phone (715) 258-3401

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

425 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2400

425 Pine Ridge Blvd
Ste 200
Wausau, WI 54401
Phone (715) 847-0075

2400 Marshall St
Wausau, WI 54403
Phone (715) 848-4300

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

Interoperability endpoints

  • Direct secure messaging: bstysly137423@direct.aspirus.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 73402 GA
Internal Medicine Physician 207R00000X 73402 GA Yes

Addresses

Primary practice location

1120 15TH St
Augusta, GA 30912-0004

Mailing address

1120 15TH St
Augusta, GA 30912-0004

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 27, 2015.

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1104188416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "203-430-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STYSLY",
        "first_name": "BRET",
        "middle_name": "KEENAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "73402",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "73402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

All providers in Augusta, GA · Internal Medicine Physician in Georgia

Sources for this page

Verify at the official NPI Registry.