MICHAEL B WOOD (PA-C) – Physician Assistant, NPI 1053472878
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
Provider Addresses for MICHAEL B WOOD (PA-C)
6308 8th Ave
Kenosha, WI 531435031
Phone: (414) 290-6720
Fax: (414) 290-6755
Type: Location
PO BOX 735044
CHICAGO, IL 606735044
Phone: (414) 257-8577
Fax: (414) 257-8505
Type: Mailing
6609 W GREENFIELD AVE
WEST ALLIS, WI 532144958
Phone: (414) 257-8577
Type: Location
Chase Tower, 111, East Wisconsin Avenue, East Town, Milwaukee, Milwaukee County, Wisconsin, 53202, United States
SUITE 2000
MILWAUKEE, WI 532024815
Phone: (414) 290-6720
Fax: (414) 290-6755
Type: Mailing
Froedtert Kenosha Hospital, 6308, 8th Avenue, Kenosha, Kenosha County, Wisconsin, 53143, United States
KENOSHA, WI 531435031
Phone: (414) 290-6720
Fax: (414) 290-6755
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-11-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071102000197 | I | Physician Assistant | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 33 | 33 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 31 | 31 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 25 | 25 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 19 | 19 | $0 |
| 81003 | Automated urinalysis test | 13 | 13 | $0 |
Insurance plans in this area (ZIP 53143)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | WI | |
| Physician Assistant | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| Diagnostic Radiology | WI | |
| - | WI | |
| Family Practice | WI | |
| Family Practice, Geriatric Medicine | IL | |
| - | WI |
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