Individual provider Active NPI

Evan John Peissig, M.D.

  • Orthopaedic Surgery Physician
  • Altoona, WI
National Provider Identifier
1457733495
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
75786 Issued in WI
Practice address
1200 Oakleaf Way Ste a
Altoona, WI 54720-2217
Phone
(715) 832-1400
Fax
(715) 832-4187
NPI assigned
Jun 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301107364 MI
Orthopaedic Surgery Physician 207X00000X 75786 WI Primary

Addresses

Primary practice location

1200 Oakleaf Way Ste a
Altoona, WI 54720-2217

Mailing address

1200 Oakleaf Way Ste a
Altoona, WI 54720-2217
Phone (715) 832-1400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ejpeissig@cvosm.gwaydirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210817001551 WI Practitioner - Orthopedic Surgery 1052625258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Wisconsin School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sport and Spine Clinic LPGroup PAC ID 9830008846, shared by 2 NPIs, 26 clinicians

Practice addresses (Care Compare)

1200 Oakleaf Way
A
Altoona, WI 54720-2245
Phone (715) 832-1400

PO Box
Greenwood, WI 54437

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement44
Knee replacement27
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301107364MIMDOrthopaedic Surgery Physician
75786WIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chippewa Valley Orthopedics and Sports Medicine Clinic SC Orthopaedic Surgery CurrentSince Sep 1, 2021 Accepting new patients
Chippewa Valley Orthopedics and Sports Medicine Clinic, SC CurrentSince Sep 1, 2021 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1200 Oakleaf Way
Ste A
Altoona, WI 54720
Phone (800) 322-1747

757 Lakeland Dr
Ste B
Chippewa Falls, WI 54729
Phone (715) 723-5989

1705 16th Ave
Cumberland, WI 54829
Phone (715) 822-7222

1220 3rd Ave W
Durand, WI 54736
Phone (715) 642-4211

1101 Lake Ave W
Ladysmith, WI 54848
Phone (715) 532-0203

2200 Cedar Crest Dr
Ste A
Rice Lake, WI 54868
Phone (715) 455-0408

Interoperability endpoints

  • Direct secure messaging: evan.peissig@cumberland-directmessage.com
  • Direct secure messaging: ejpeissig@cvosm.emadirect.md

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1457733495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 OAKLEAF WAY STE A",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202217",
            "telephone_number": "715-832-1400",
            "fax_number": "715-832-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OAKLEAF WAY STE A",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202217",
            "telephone_number": "715-832-1400",
            "fax_number": "715-832-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEISSIG",
        "first_name": "EVAN",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-26",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301107364",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "75786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ejpeissig@cvosm.gwaydirect.com",
            "affiliation": "N",
            "address_1": "1200 Oakleaf Way Ste A",
            "city": "Altoona",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547202245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altoona, WI

Sources for this page

Verify at the official NPI Registry.