Active NPI
Todd Joseph Duellman, M.D.
- Orthopaedic Surgery Physician
- Wisconsin Rapids, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 125-042504
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34866900 | Medicaid | WI | |
| P00346189 | Other | WI | MEDICARE 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
Enrollment records 1
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
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 100
- Quality
- 38.42
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 31 |
| Knee replacement | 50 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 125-042504 | IL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Black River Health Inc | Current | Accepting new patients | |
| Black River Health Inc | Current | Accepting new patients | |
| Wisconsin River Orthopaedics, LTD. | Orthopaedic Surgery | Current | 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.
-
- Orthopaedic Surgery Physician
- Wisconsin Rapids, WI
- NPI 1144274390
-
- Critical Access Hospital
- Black River Falls, WI
- NPI 1811940331
-
- Rural Health Clinic/Center
- Black River Falls, WI
- NPI 1255183182
-
- Ambulatory Surgical Clinic/Center
- Wisconsin Rapids, WI
- NPI 1194813840
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Health Clinic/Center
- Marshfield, WI
- NPI 1124633870
Hospital
-
- General Acute Care Hospital
- Wisconsin Rapids, WI
- NPI 1295754844
-
- Critical Access Hospital
- Black River Falls, WI
- NPI 1811940331
-
- Rural Acute Care Hospital
- Marshfield, WI
- NPI 1942749387
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.