Active NPI
Erik T Branstetter, DO
- Surgery Physician
- Medford, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 44580
- Practice address
- 143 S Gibson St
Medford, WI 54451-1622 - Phone
- (715) 748-2121
- Fax
- (715) 748-7590
- NPI assigned
- Aug 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 44580 | WI | Primary |
Addresses
Primary practice location
143 S Gibson St
Medford, WI 54451-1622
Mailing address
143 South Gibson Street
Medford, WI 54451-1622
Phone (715) 748-2121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43499400 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | erik.branstetter@trinityhealthia.medicity.net | Direct | |
| Direct Messaging Address | erik.branstetter@trinityhealthia.medicity.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180430002103 | IA | Practitioner - General Surgery | 1052494978 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Kansas City University of Physicians and Surgeons, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Medical Center New HamptonMitchell County Memorial Hospital
Practice addresses (Care Compare)
308 N Maple Ave
New Hampton, IA 50659-1142
616 N 8TH St
Osage, IA 50461-1456
Phone (641) 732-6000
620 N 8TH St
Osage, IA 50461-1456
Phone (641) 732-6100
Hospital & facility affiliations
- Mitchell County Regional Health
- Mercy Medical Center-New Hampton
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 11 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44580 | WI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Center - New Hampton | Current | Accepting new patients | |
| Mitchell County Memorial Hospital | Current | Accepting new patients | |
| Mitchell County Memorial Hospital | Current | Accepting new patients | |
| Mercy Medical Center New Hampton | Current | Accepting new patients | |
| Mercy Medical Center New Hampton | Current | Accepting new patients | |
| Mitchell County Memorial Hospital | Current | Accepting new patients | |
| Mitchell County Memorial Hospital | Past | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Locations
308 N Maple Ave
New Hampton, IA 50659
Phone (641) 394-2151
616 N 8th St
Osage, IA 50461
Phone (641) 732-6000
620 N 8th St
Osage, IA 50461
Phone (641) 732-6100
140 W 4th St
Saint Ansgar, IA 50472
Phone (641) 713-4381
Interoperability endpoints
- ebranstetter4594438@direct.trinity-health.org
Organizations & group practices 11
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.
-
- Certified Registered Nurse Anesthetist
- Osage, IA
- NPI 1407925522
IA
-
- Rural Health Clinic/Center
- Saint Ansgar, IA
- NPI 1518059138
-
- Rural Health Clinic/Center
- Osage, IA
- NPI 1588756191
-
- Medicare Defined Swing Bed Hospital Unit
- New Hampton, IA
- NPI 1285702274
-
- Family Medicine Physician
- Osage, IA
- NPI 1154487544
-
- Rural Health Clinic/Center
- Riceville, IA
- NPI 1689766206
-
- Family Medicine Physician
- New Hampton, IA
- NPI 1568474369
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
Hospital & facility affiliations 2
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": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596672000000",
"number": "1831100262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 SOUTH GIBSON STREET",
"city": "MEDFORD",
"state": "WI",
"postal_code": "544511622",
"telephone_number": "715-748-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 S GIBSON ST",
"city": "MEDFORD",
"state": "WI",
"postal_code": "544511622",
"telephone_number": "715-748-2121",
"fax_number": "715-748-7590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANSTETTER",
"first_name": "ERIK",
"middle_name": "T",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "44580",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43499400",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "erik.branstetter@trinityhealthia.medicity.net",
"affiliation": "N",
"endpointDescription": "MercyOne North Iowa Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "616 N 8th St",
"city": "Osage",
"state": "IA",
"country_code": "US",
"postal_code": "504611456",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "erik.branstetter@trinityhealthia.medicity.net",
"affiliation": "N",
"endpointDescription": "MercyOne North Iowa Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "4552 Indigo Ave",
"city": "Saint Ansgar",
"state": "IA",
"country_code": "US",
"postal_code": "504728656",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Medford, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.