Individual provider Active NPI

Jeremy Saller, M.D.

  • Orthopaedic Surgery Physician
  • Green Bay, WI
National Provider Identifier
1811150683
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
81522 Issued in WI
Practice address
1110 Kepler Dr
Green Bay, WI 54311-8306
Phone
(920) 288-5555
Fax
(920) 288-5550
NPI assigned
Jul 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP10031380 TX
Pediatric Orthopaedic Surgery Physician 207XP3100X 0101256117 VA
Orthopaedic Surgery Physician 207X00000X 0101256117 VA
Orthopaedic Surgery Physician 207X00000X 81522 WI Primary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 82430 SC

Addresses

Primary practice location

1110 Kepler Dr
Green Bay, WI 54311-8306

Mailing address

1035 Kepler Dr
Green Bay, WI 54311-8320
Phone (920) 490-9046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180726001293 DC Practitioner - Orthopedic Surgery 9537387238 Reassigns benefits to 1 organization
I20230316001522 WI Practitioner - Orthopedic Surgery 9537387238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Texas a & M University System, HSC, College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Clinic LLPGroup PAC ID 4385554328, 197 clinicians

Practice addresses (Care Compare)

1160 Kepler Dr
Green Bay, WI 54311-8321
Phone (920) 288-5555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.21 of 100Reported as group
Quality
78.54
Promoting interoperability
100
Improvement activities
40
Cost
75.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue18
Removal or shaving of skin growth13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101256117VAMDPediatric Orthopaedic Surgery Physician
BP10031380TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Clinic LLP CurrentSince May 1, 2023 Accepting new patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery CurrentSince Aug 16, 2018 Accepting new patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery CurrentSince Aug 16, 2018 Accepting new patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery Current Accepting new patients
Baycare Clinic LLP Orthopaedic Surgery CurrentSince May 1, 2023 Accepting new patients

Locations

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

2922 Telestar Ct
Falls Church, VA 22042
Phone (703) 584-2040

2581 Development Dr
Green Bay, WI 54311
Phone (920) 347-0400

1035 Kepler Dr
Green Bay, WI 54311

1160 Kepler Dr
Green Bay, WI 54311
Phone (920) 288-5400

1110 Kepler Dr
Green Bay, WI 54311
Phone (920) 288-4712

1500 Arbor Way
Kaukauna, WI 54130
Phone (877) 229-2273

719 Doctors Ct
Oshkosh, WI 54901
Phone (920) 235-0066

1346 E Green Bay St
Shawano, WI 54166
Phone (715) 526-6244

1910 Alabama St
Sturgeon Bay, WI 54235
Phone (920) 746-7200

Interoperability endpoints

  • Direct secure messaging: jeremy.saller.1@5499.direct.athenahealth.com

Organizations & group practices 5

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1811150683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 KEPLER DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543118320",
            "telephone_number": "920-490-9046",
            "fax_number": "920-405-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 KEPLER DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543118306",
            "telephone_number": "920-288-5555",
            "fax_number": "920-288-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLER",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10031380",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "VA",
            "license": "0101256117",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101256117",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "81522",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "SC",
            "license": "82430",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.