Thomas Carl Smedberg, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

51029 Issued in WI

Practice address

118 W Maple Ave
Beaver Dam, WI 53916-2104

Phone

(920) 356-1000

Fax

(920) 356-0719

NPI assigned

Nov 8, 2006

Last updated

Mar 4, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Orthopedic SurgeryAlso: Sports Medicine

Education

Medical College of Wisconsin, 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)

Hospital & facility affiliations

• Aspirus Riverview Hospital & Clinics Inc Hospital, Wisconsin Rapids, WI, CCN 520033
• Marshfield Medical Center Hospital, Marshfield, WI, CCN 520037

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wisconsin River Orthopaedics, LTD.

  • Orthopaedic Surgery Physician
  • Wisconsin Rapids, WI
  • NPI 1144274390
  Medicare reassignment Care Compare group NPD

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

• Aspirus Riverview Hospital & Clinics, Inc.

  dba Aspirus Clinic - Marshfield

  • Rural Health Clinic/Center
  • Marshfield, WI
  • NPI 1124633870

  Hospital

  Care Compare affiliation
• Aspirus Riverview Hospital & Clinics, Inc.

  dba Aspirus Outpatient Therapies - Wisconsin Rapids

  • General Acute Care Hospital
  • Wisconsin Rapids, WI
  • NPI 1295754844
  Care Compare affiliation
• MCHS Hospitals Inc

  dba Marshfield Medical Center

  • Rural Acute Care Hospital
  • Marshfield, WI
  • NPI 1942749387
  Care Compare affiliation

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1912077140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W MAPLE AVE",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162104",
            "telephone_number": "920-356-1000",
            "fax_number": "920-356-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W MAPLE AVE",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162104",
            "telephone_number": "920-356-1000",
            "fax_number": "920-356-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMEDBERG",
        "first_name": "THOMAS",
        "middle_name": "CARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "51029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100024431",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH SYSTEMS",
            "identifier": "61337",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shopko Stores Operating Co. LLC (ShopKo Optical 014)
• Shoptikal LLC (Shopko Optical 4014)
• Liberty Siebrecht
• Sleep Well Dental, LLC
• Brock Holden Slinger, DPT
• Sharon M Smith, PA-C
• Paige Smithback
• David Hugh Sommer, D.D.S.
• Cory A Springstroh, OD
• St. Marys Dean Ventures Inc. (Ayaz M Samadani MD)

• Orthopaedic Surgery Physician in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Orthopaedic Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.

Verify at the official NPI Registry.