Individual provider Active NPI

Todd Joseph Duellman, M.D.

  • Orthopaedic Surgery Physician
  • Wisconsin Rapids, WI
National Provider Identifier
1467493296
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
125-042504 Issued in IL
Practice address
140 24TH St S
Wisconsin Rapids, WI 54494-1906
Phone
(715) 424-1881
Fax
(715) 423-1602
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 125-042504 IL Primary

Addresses

Primary practice location

140 24TH St S
Wisconsin Rapids, WI 54494-1906

Mailing address

PO Box 8005
Wisconsin Rapids, WI 54495-8005
Phone (715) 424-1881

Other identifiers 2

IdentifierTypeStateIssuer
34866900MedicaidWI
P00346189OtherWIMEDICARE RAILROAD

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
I20060727000042 WI Practitioner - Orthopedic Surgery 2567475148 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Southern Illinois University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wisconsin River Orthopaedics, LTD.Group PAC ID 4880607431, 18 clinicians

Practice addresses (Care Compare)

140 24TH St S
Wisconsin Rapids, WI 54494-1906
Phone (715) 424-1881

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
41.52 of 100Reported as individual
Quality
38.42
Promoting interoperability
0
Improvement activities
0
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement31
Knee replacement50
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
125-042504ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Black River Health Inc CurrentSince Jan 1, 2026 Accepting new patients
Black River Health Inc CurrentSince Jan 1, 2026 Accepting new patients
Wisconsin River Orthopaedics, LTD. Orthopaedic Surgery CurrentSince Aug 1, 2006 Accepting new patients
Surgery Center of Wisconsin Rapids, LLC Past Accepting new patients

Locations

610 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-4311

711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

140 24th St S
Wisconsin Rapids, WI 54494
Phone (715) 424-1881

Organizations & group practices 4

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 4

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1467493296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8005",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544958005",
            "telephone_number": "715-424-1881",
            "fax_number": "715-423-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 24TH ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544941906",
            "telephone_number": "715-424-1881",
            "fax_number": "715-423-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUELLMAN",
        "first_name": "TODD",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "125-042504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34866900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00346189",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

Verify at the official NPI Registry.