NPIMap

Individual provider Active NPI

Ross Trecartin, MD

  • Family Medicine Physician
  • Antigo, WI
National Provider Identifier
1205495694
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
77134-20 Issued in WI
Practice address
110 E 5TH Ave
Antigo, WI 54409-2710
Phone
(715) 623-2351
NPI assigned
Jun 10, 2019
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 77134-20 WI Primary

Addresses

Primary practice location

110 E 5TH Ave
Antigo, WI 54409-2710

Mailing address

110 E 5TH Ave
Antigo, WI 54409-2710
Phone (715) 623-2351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220815003118 WI Practitioner - Family Practice 6507249125 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Langlade Hospital - Hotel Dieu of St Joseph of Antigo WisconsinGroup PAC ID 1557271202, shared by 7 NPIs, 86 clinicians

Practice addresses (Care Compare)

110 E 5TH Ave
Antigo, WI 54409-2710
Phone (715) 623-2351

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.2 of 100Reported as group
Quality
84.08
Promoting interoperability
100
Improvement activities
40
Cost
64.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
77134-20WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Medical Group, Inc. CurrentSince Aug 22, 2022 Accepting new patients
Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Aug 22, 2022 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin Family Medicine Current Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin Family Medicine CurrentSince Aug 22, 2022 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Aug 22, 2022 Accepting new patients
Langlade Memorial Hospital Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

2215 Progress Blvd
Antigo, WI 54409
Phone (715) 623-2351

110 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2351

663 Maratech Ave
Marathon, WI 54448
Phone (715) 443-2727

425 Wind Ridge Dr
Wausau, WI 54401
Phone (715) 675-3391

604 S Webb St
Wittenberg, WI 54499
Phone (715) 253-2037

Interoperability endpoints

  • Direct secure messaging: rtrecartin150423@direct.aspirus.org

Organizations & group practices 9

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

Hospital & facility affiliations 30

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

View all 30

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1205495694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 5TH AVE",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092710",
            "telephone_number": "715-623-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 5TH AVE",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092710",
            "telephone_number": "715-623-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRECARTIN",
        "first_name": "ROSS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "77134-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antigo, WI

Sources for this page

Verify at the official NPI Registry.