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Active NPI 1053608828 Individual Practitioner Male Practitioner

Joseph Jon Deboer , PA-C

Physician Assistant • Fond Du Lac, WI

Professional Overview & Biography Verified Profile Summary

Joseph Deboer, PA-C is a registered healthcare professional specializing in Physician Assistant in Fond Du Lac, WI. Practice services are available at 430 E DIVISION ST under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

430 E Division St

Fond Du Lac, WI 549354560

Telephone 9209292300
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fond Du Lac, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.9 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
18 Specialists

Practicing in Fond Du Lac, WI (3517 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
84.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
25 25 $631.60 $98.05
99285 Emergency department visit for life threatening or functioning severity
14 14 $931.00 $142.37

Medical Specialties & State Licenses

CMS Verified: 2020-12-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 2785-023

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jacqueline Lemmenes , CST

Specialist/Technologist, Other

NPI 1003897315
Dr. Ann Cappellari , MD

Emergency Medicine

NPI 1013014893

Doctor of Medicine (M.D.)

Kierstyn Lomprey , FNP-BC

Nurse Practitioner

NPI 1033785530

Family Nurse Practitioner (Board Certified)

Kendalyn Voss

Speech-Language Pathologist

NPI 1053004929
NPI 1053265975

Bachelor of Science in Nursing, Registered Nurse, CNE

NPI 1073856761

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address December 09, 2020

Registered at 420 E DIVISION ST, FOND DU LAC, WI 549354560 (Tel: 9209264600)

NPI Profile Active September 27, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 27, 2013

Registered at 430 E DIVISION ST, FOND DU LAC, WI 549354560 (Tel: 9209292300)

📍
Updated Business Mailing Address September 27, 2013

Registered at 430 E DIVISION ST, FOND DU LAC, WI 549354560 (Tel: 9209264602)

👤
Provider Name / Credentials Updated September 27, 2013

Recorded as JOSEPH DEBOER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2013

Physician Assistant (License #2785-023 in WI)

🟢
Initial NPI Registration & Enumeration June 30, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053608828
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2011
Last Update: December 09, 2020
Sole Proprietor: No

Mailing Address

420 E Division St

Fond Du Lac, WI 549354560

Phone: 9209264600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.