BARTLEY R KNEELAND (MD) – Family Medicine Physician, NPI 1265466296

BARTLEY R KNEELAND (MD) is a healthcare provider. based in Antigo, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 40463 (WI). The NPI Number for BARTLEY R KNEELAND (MD) is 1265466296

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
BARTLEY R KNEELAND (MD)
NPI
1265466296
Phone
(715) 623-2351
Address
110 E 5TH AVE
Enumeration Date
10 July 2006
Last Update Date
7 December 2007

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
5395773048
Group Practice PAC ID
8729992318
Professional Enrollment ID
I20250618000401
Address ID
IA506138155CE5100XPKWY300
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

3,050 FAMILY PRACTICE in WI

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Provider Addresses for BARTLEY R KNEELAND (MD)

  • 110, 5th Avenue, Antigo, Langlade County, Wisconsin, 54409, United States

    ANTIGO, WI 544092710

    Phone: (715) 623-2351

    Type: Location

  • Wausau Oral Surgery & Dental Implant Center, S.C., 3000, Westhill Drive, Wausau, Marathon County, Wisconsin, 54401, United States

    SUITE 303

    WAUSAU, WI 544013795

    Phone:

    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: 2025-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050803000064IFamily PracticeWITBD
I20250618000401IFamily PracticeIATBD

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.

Verify on CMS Revalidation Lookup Tool

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 54409)

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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: 8729992318View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm BARTLEY R KNEELAND (MD)'s NPI?
Yes. BARTLEY R KNEELAND (MD) is listed with NPI 1265466296 in the public NPI dataset.
Is BARTLEY R KNEELAND (MD) still practicing?
BARTLEY R KNEELAND (MD) is currently listed as active in the public NPI registry.
What healthcare role does BARTLEY R KNEELAND (MD) hold?
Scheduling teams often label BARTLEY R KNEELAND (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does BARTLEY R KNEELAND (MD) list a practice location?
Patients near Antigo, Wisconsin may find BARTLEY R KNEELAND (MD) in results; validate coverage separately.
Why does BARTLEY R KNEELAND (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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