DR. EDMUND S. FANGMAN (M.D.) – Anesthesiology Physician, NPI 1881677672
Anesthesiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,266 ANESTHESIOLOGY in WI
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Provider Addresses for DR. EDMUND S. FANGMAN (M.D.)
225, South Executive Drive, Brookfield, Waukesha County, Wisconsin, 53005, United States
BROOKFIELD, WI 530054266
Phone: (262) 787-4026
Type: Mailing
Saint Vincent Hospital, 835, South Van Buren Street, Astor, Green Bay, Brown County, Wisconsin, 54307, United States
GREEN BAY, WI 543013526
Phone: (920) 433-0111
Type: Location
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.
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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: 2004-11-01
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 |
|---|---|---|---|---|
| I20041101000465 | I | Anesthesiology | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 21 | 21 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 18 | 18 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 14 | 14 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 12 | 12 | $0 |
| 00790 | Anesthesia for other procedure on upper abdomen | 11 | 11 | $0 |
Insurance plans in this area (ZIP 53005)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | WI | 00142 | Anesthesia for lens surgery | 23 | 22 |
| ANESTHESIOLOGY | WI | 00790 | Anesthesia for procedure in upper abdomen including use of an endoscope | 14 | 14 |
| ANESTHESIOLOGY | WI | 36620 | Insertion of arterial catheter for blood sampling or infusion, accessed through the skin | 24 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| - | MI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Certified Registered Nurse Anesthetist (Crna) | WI |
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