DR. LLOYD CHARLES IV CASSIDY (MD) – Family Medicine Physician, NPI 1457795569
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,309 EMERGENCY MEDICINE in WI
Provider Addresses for DR. LLOYD CHARLES IV CASSIDY (MD)
100 COUNTY ROAD
SHAWANO, WI 541667072
Phone: (715) 526-2111
Fax: (715) 526-7308
Type: Location
124 SIEGLER ST
GREEN BAY, WI 543032636
Phone: (920) 605-3115
Fax: (920) 486-6826
Type: Location
1500 S Main St
Family Medicine Residency Program
Fort Worth, TX 761044917
Phone: (817) 702-1204
Type: Location
2875 W. 19th Street
Chicago, IL 60623
Phone: (773) 484-1000
Type: Location
100 County Road
Shawano, WI 541667072
Phone: (715) 526-2111
Fax: (715) 526-7308
Type: Location
353 N DESPLAINES ST APT 607
CHICAGO, IL 606611245
Phone: (847) 502-2979
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2019-04-18
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 |
|---|---|---|---|---|
| I20150226000568 | I | Emergency Medicine | TX | TBD |
| I20180403000469 | I | Family Practice | IL | TBD |
| I20190418001271 | I | Emergency Medicine | WI | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 28 | 14 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 54166)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Family Practice, Obstetrics/Gynecology | WI | |
| Nurse Practitioner | WI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.