DR. KRISTIN P BEOUGHER (DO) – Family Medicine Physician, NPI 1891704417

DR. KRISTIN P BEOUGHER (DO) is a healthcare provider. based in Oshkosh, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 46752 (WI). The NPI Number for DR. KRISTIN P BEOUGHER (DO) is 1891704417

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRISTIN P BEOUGHER (DO)
NPI
1891704417
Phone
(920) 303-2254
Address
5169 CHESAPEAKE CT
Enumeration Date
5 August 2006
Last Update Date
23 May 2016

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3036904891
Graduation Year
2001 (25 years ago)
PAC ID
0244204758
Group Practice PAC ID
1658261854
Professional Enrollment ID
I20120222000762
Address ID
CO800143985AU14991AVEX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

3,050 FAMILY PRACTICE in WI

Loading map...

Provider Addresses for DR. KRISTIN P BEOUGHER (DO)

  • 5169, Chesapeake Court, Town of Oshkosh, Winnebago County, Wisconsin, 54901, United States

    OSHKOSH, WI 54901

    Phone: (920) 303-2254

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $1,099.

Total Amount is formed as General ($1,099) + Research ($0) + Ownership ($0) = $1,099.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ABBVIE INC. ($399).

Total Amount

$1,099

General + Research + Ownership

Payments

54

Total payment records

General Amount

$1,099

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2012-02-22

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
I20120222000762IFamily PracticeCOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes262132$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8686$0
81003Automated urinalysis test5654$0
99213Established patient office or other outpatient visit, 20-29 minutes4336$0
90662Influenza vaccine split virus, preservative free3434$0
View full utilization report →

Insurance plans in this area (ZIP 54901)

Loading plans...

Provider's Procedures

DR. KRISTIN P BEOUGHER (DO) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEWI81002Urinalysis, manual test3728
FAMILY MEDICINEWI90670Pneumococcal vaccine for injection into muscle1111

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: 1658261854View full group profile
NameSpecialtyState
Family PracticeWI
-CO
Family PracticeCO
General PracticeCO
Family PracticeCO
-UT
Family PracticeCO
Family PracticeCO
Family PracticeCO

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.

Frequently asked questions

Where can patients find DR. KRISTIN P BEOUGHER (DO)'s NPI?
You can confirm DR. KRISTIN P BEOUGHER (DO) with NPI 1891704417; it appears in the national provider directory.
Is DR. KRISTIN P BEOUGHER (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. KRISTIN P BEOUGHER (DO)?
The page reflects Family Medicine Physician for DR. KRISTIN P BEOUGHER (DO). Clinical services aligned with this taxonomy classification.
Does DR. KRISTIN P BEOUGHER (DO) practice in Wisconsin?
You will see Oshkosh, Wisconsin on file for DR. KRISTIN P BEOUGHER (DO) alongside any extra practice locations.
How can I contact DR. KRISTIN P BEOUGHER (DO)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.