ALAN W ROETKER (MD) – Orthopaedic Surgery Physician, NPI 1124119110

ALAN W ROETKER (MD) is a healthcare provider. based in Fond du lac, Wisconsin. specializing in Orthopaedic Surgery Physician. They hold the professional credentials MD. They hold a License No. 26029 (WI). The NPI Number for ALAN W ROETKER (MD) is 1124119110

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
ALAN W ROETKER (MD)
NPI
1124119110
Phone
(920) 926-8340
Address
420 E DIVISION ST
Enumeration Date
27 September 2006
Last Update Date
2 March 2016

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
9830196518
Group Practice PAC ID
1658289624
Professional Enrollment ID
I20100208000645
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ALAN W ROETKER (MD)

  • Fond-du-Lac, Northern Saskatchewan Administration District, Saskatchewan, Canada

    FOND DU LAC, WI 549354560

    Phone: (920) 926-8340

    Fax: (920) 926-8370

    Type: Mailing

  • Agnesian Health Plaza Building A, 421, Camelot Drive, Fond du Lac, Fond du Lac County, Wisconsin, 53935, United States

    FOND DU LAC, WI 549358335

    Phone: (920) 926-8616

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54935)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658289624View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WI
-WI
U R O L O G YWI
-WI
P S Y C H I A T R YWI
Certified Registered Nurse Anesthetist (Crna)WI
Vascular Surgery, General SurgeryWI
-ND
Nephrology, Internal MedicineWI
Family PracticeWI

Reviews

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Frequently asked questions

How do payers reference ALAN W ROETKER (MD)?
For ALAN W ROETKER (MD), use NPI 1124119110 as the unique 10-digit identifier.
Is ALAN W ROETKER (MD) still an active registrant?
ALAN W ROETKER (MD) carries an active NPI according to the public dataset.
What kind of doctor is ALAN W ROETKER (MD)?
ALAN W ROETKER (MD) is associated with Orthopaedic Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
Is ALAN W ROETKER (MD) located near Fond Du Lac?
ALAN W ROETKER (MD) currently maps to Fond Du Lac, Wisconsin in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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