STEPHEN HUBBARD (MD) – Emergency Medicine Physician, NPI 1366434961
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,309 EMERGENCY MEDICINE in WI
Provider Addresses for STEPHEN HUBBARD (MD)
112 E 5TH AVE
ANTIGO, WI 544092710
Phone: (715) 623-2351
Type: Location
ThedaCare Medical Center-Wild Rose, 601, Grove Avenue, Wild Rose, Waushara County, Wisconsin, 54984, United States
WILD ROSE, WI 549846903
Phone: (920) 622-3257
Type: Location
PO BOX 243
WILD ROSE, WI 549840243
Phone: (920) 622-3257
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: 2015-11-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040311000344 | I | Emergency Medicine | WI | TBD |
| I20151116001289 | I | Emergency Medicine | MI | 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.
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
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Critical Care (Intensivists) | WI | |
| Hospitalist, Internal Medicine | WI | |
| Hospitalist, Internal Medicine, Internal Medicine, Hospitalist | MN | |
| Family Practice | MI | |
| Hospitalist, Internal Medicine | WI | |
| Emergency Medicine | NY | |
| Internal Medicine, Hospice/Palliative Care | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Emergency Medicine | NJ | |
| Emergency Medicine, Family Practice | WI |
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