MR. KENNETH L SCHAUFELBERGER (MD) – Orthopaedic Surgery Physician, NPI 1790754810
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
628 ORTHOPEDIC SURGERY in WI
Provider Addresses for MR. KENNETH L SCHAUFELBERGER (MD)
2105 E Enterprise Ave
Appleton, WI 549137862
Phone: (920) 560-1000
Fax: (920) 731-7133
Type: Location
250 W 6th Ave
Oshkosh, WI 549025910
Phone: (920) 831-5050
Type: Location
1498 W South Park Ave
Oshkosh, WI 549026677
Phone: (920) 560-1000
Fax: (920) 731-7133
Type: Location
102 Grand Seasons Dr Ste 1
Waupaca, WI 549818298
Phone: (920) 560-1000
Fax: (920) 731-7133
Type: Location
3 NEENAH CTR
NEENAH, WI 549563070
Phone: (920) 830-5900
Fax: (920) 830-5900
Type: Mailing
130 2ND ST
NEENAH, WI 549562883
Phone: (920) 831-5050
Type: Location
2105 E ENTERPRISE AVE
APPLETON, WI 549137862
Phone: (920) 560-1000
Fax: (920) 731-7133
Type: Mailing
East Enterprise Avenue, Appleton, Outagamie County, Wisconsin, 54912, United States
APPLETON, WI 549137862
Phone: (920) 731-3111
Fax: (920) 731-7133
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $175.
Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.
Last reported payment date: 2024-07-16 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($130).
Total Amount
$175
General + Research + Ownership
Payments
2
Total payment records
General Amount
$175
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $130 |
| Smith+Nephew, Inc. | $45 |
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: 2005-01-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050131000176 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,053 | 85 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 116 | 69 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 57 | 44 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 38 | 34 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 37 | 29 | $0 |
Insurance plans in this area (ZIP 54913)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WI | |
| Nurse Practitioner | WI | |
| Orthopedic Surgery | WI | |
| Certified Clinical Nurse Specialist (Cns) | WI | |
| Orthopedic Surgery | IL | |
| Orthopedic Surgery, Sports Medicine | WI | |
| Orthopedic Surgery, Sports Medicine | WI | |
| Physician Assistant | WI | |
| Nurse Practitioner | WI | |
| Orthopedic Surgery | WI |
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