MR. BRIAN T. STUBITSCH (MD) – Emergency Medicine Physician, NPI 1528041753

MR. BRIAN T. STUBITSCH (MD) is a healthcare provider. based in Boscobel, Wisconsin. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 43813 020 (WI). The NPI Number for MR. BRIAN T. STUBITSCH (MD) is 1528041753

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRIAN T. STUBITSCH (MD)
NPI
1528041753
Phone
(608) 375-4112
Address
205 Parker St
Enumeration Date
22 November 2005
Last Update Date
23 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7154236060
Graduation Year
1996 (30 years ago)
PAC ID
0941292866
Group Practice PAC ID
4587658182
Professional Enrollment ID
I20040331001524
Address ID
WI544944715WI410XXSTXX300

Contacts

Secure Messaging
bstubitsch263546@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,297 EMERGENCY MEDICINE in WI

Provider Addresses for MR. BRIAN T. STUBITSCH (MD)

  • 205 Parker St

    Boscobel, WI 538051642

    Phone: (608) 375-4112

    Type: Location

  • Aspirus Divine Savior Hospital, 2817, New Pinery Road, Portage, Columbia County, Wisconsin, 53901, United States

    DIVINE SAVIOR HEALTHCARE INC

    PORTAGE, WI 539019257

    Phone: (608) 742-4131

    Fax: (608) 742-6098

    Type: Location

  • PO BOX 387

    DIVINE SAVIOR HEALTHCARE INC

    PORTAGE, WI 539010387

    Phone: (608) 742-4131

    Fax: (608) 742-6098

    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: 2004-03-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20040331001524IEmergency MedicineWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making2222$0
99284Emergency department visit with moderate level of medical decision making2121$0
99283Emergency department visit with low level of medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 53805)

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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: 4587658182View full group profile

Reviews

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Frequently asked questions

Is MR. BRIAN T. STUBITSCH (MD) listed with a National Provider Identifier?
Yes — MR. BRIAN T. STUBITSCH (MD) has NPI 1528041753 on file in the registry.
Is there an active status for MR. BRIAN T. STUBITSCH (MD)?
For scheduling context, MR. BRIAN T. STUBITSCH (MD) is shown as active in the registry.
How would a patient describe MR. BRIAN T. STUBITSCH (MD)'s focus?
For MR. BRIAN T. STUBITSCH (MD), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. BRIAN T. STUBITSCH (MD)?
Directory geography for MR. BRIAN T. STUBITSCH (MD) centers on Boscobel, Wisconsin.
When was this NPI issued?
Enumeration for MR. BRIAN T. STUBITSCH (MD) is noted as November 22, 2005 where the registry provides it.

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