DR. JOSHUA A MULTACK (D.O.) – Critical Care Medicine (Anesthesiology) Physician, NPI 1164693891
Critical Care Medicine (Anesthesiology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
411 CRITICAL CARE (INTENSIVISTS) in WI
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Provider Addresses for DR. JOSHUA A MULTACK (D.O.)
Fond-du-Lac, Northern Saskatchewan Administration District, Saskatchewan, Canada
FOND DU LAC, WI 549354560
Phone: (920) 926-8332
Type: Mailing
2343 AARON ST
PORT CHARLOTTE, FL 339525305
Phone: (877) 856-3774
Type: Location
616 Clearwater Park Rd Apt 1401
West Palm Beach, FL 334016250
Phone: (305) 772-0134
Type: Location
1350 Hickory St
Melbourne, FL 329013224
Phone: (321) 434-4225
Type: Location
2675 WINKLER AVE FL 2
FORT MYERS, FL 339019342
Phone: (877) 856-3774
Type: Mailing
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: 2021-03-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20131118000295 | I | Critical Care (Intensivists) | FL | TBD |
| I20200929002856 | I | Critical Care (Intensivists) | AL | TBD |
| I20210318000708 | I | Critical Care (Intensivists) | NE | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 85 | 31 | $0 |
Insurance plans in this area (ZIP 54935)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | WI | 31500 | Emergent insertion of breathing tube into windpipe cartilage using an endoscope | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| Internal Medicine | FL | |
| Internal Medicine | FL | |
| H O S P I T A L I S T | FL | |
| Internal Medicine | FL | |
| Internal Medicine | FL | |
| Hospitalist, Internal Medicine, Internal Medicine | FL | |
| Internal Medicine | FL | |
| H O S P I T A L I S T | PR | |
| H O S P I T A L I S T | FL |
Reviews
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