EDGAR BETANCOURT (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1174593875

Anatomic Pathology & Clinical Pathology Physician

EDGAR BETANCOURT (M.D.) is a healthcare provider. based in Wausau, Wisconsin. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold the professional credentials M.D.. They hold a License No. 43096 (WI). The NPI Number for EDGAR BETANCOURT (M.D.) is 1174593875

Main info

Male

30 Years Of Experience

Accepts Medicare Assignment

Name

EDGAR BETANCOURT (M.D.)

NPI

1174593875

Phone

(715) 847-0075

Address

2800 WESTHILL DR

Enumeration Date

25 January 2006

Last Update Date

18 October 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7157488100

Graduation Year

1996 (30 years ago)

PAC ID

4880691898

Group Practice PAC ID

5799688602

Professional Enrollment ID

I20100914001078

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for EDGAR BETANCOURT (M.D.)

2800 Westhill Drive, 2800, Westhill Drive, Aspirus Westhill Campus, Wausau, Marathon County, Wisconsin, 54401, United States
WAUSAU, WI 544013771
Phone: (715) 847-0075
Type: Mailing
333, Pine Ridge Boulevard, Wausau, Marathon County, Wisconsin, 54401, United States
WAUSAU, WI 544014120
Phone: (715) 847-2130
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.

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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 54401)

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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: 5799688602View full group profile

Name	Specialty	State
MAKAYLA LISA MEYER-MOSER (FNP-BC)	Nurse Practitioner	WI
MELISSA DAWN BELLE (NP-C)	-	WI
DR. JON C. BOWERSOX (M.D.)	General Surgery	WI
LARRY RAY JR. HROMALIK (MD)	General Surgery	HI
DR. SUSAN J FRAZIER (MD)	-	WI
ODESSA M GALLETT (RDCD)	Registered Dietitian Or Nutrition Professional	WI
RONNIE ORLANDO ORTIZ (MD)	Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology)	NJ
DAVID EUGENE LANGE (MD)	-	WI
NAOMI E MINKS	-	WI
CLINT G SEMRAU (DO)	General Surgery	WI

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Frequently asked questions

What NPI should I save for EDGAR BETANCOURT (M.D.)?

Save NPI 1174593875 if you need a stable reference for EDGAR BETANCOURT (M.D.).

Is EDGAR BETANCOURT (M.D.) active in the national directory?

EDGAR BETANCOURT (M.D.)'s public NPI profile is in an active state.

What field does EDGAR BETANCOURT (M.D.) work in?

You can think of EDGAR BETANCOURT (M.D.) as practicing within Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.

Where does public data place EDGAR BETANCOURT (M.D.)?

The snapshot lists Wausau, Wisconsin for EDGAR BETANCOURT (M.D.); download NPPES for the complete set.

Is EDGAR BETANCOURT (M.D.) a real provider?

This page reflects official NPPES data for NPI 1174593875. Always confirm identity and privileges with the practice and licensing boards.