Active NPI 1073566030 Individual Practitioner Male Practitioner

Dr. Alexander Spencer Tretinyak , MD

Surgery - Vascular Surgery • Appleton, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Alexander Tretinyak, MD is a certified Surgery - Vascular Surgery practicing in Appleton, WI. With approximately 30 years of clinical experience since graduating from University Of Minnesota Medical School in 1996, Dr. Tretinyak delivers high-quality medical care to the local community at 1818 N MEADE ST.

Dr. Tretinyak is affiliated with Fox Valley Surgical Associates Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first, ultrasonic guidance for blood vessel access. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1818 N Meade St
Suite 240 West

Appleton, WI 549113454

Telephone 9207318131

Fax 9208320444

Associated Practice Facility / Clinic

🏢 Appleton Emergency Services S C Facility NPI 1588666853

Medicare Profile & Education

Medical School

University Of Minnesota Medical School

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Appleton, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +4.7 yrs vs City Avg

City Avg: 25.3 Yrs

State Avg: 23.9 Yrs

Regional Practice Density

4 Specialists

Practicing in Appleton, WI (92 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

89.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tretinyak (30 Years) 30 Yrs

Appleton Specialty Average (25.3 Years) 25.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	72	$364.00	$118.66
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	68	51	$153.00	$10.98
76937 Ultrasonic guidance for blood vessel access	55	43	$192.00	$12.62
93922 Ultrasound study of arm and leg arteries	46	44	$58.00	$10.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$541.00	$155.63
75625 Radiological supervision and interpretation X-ray of abdominal aorta	36	32	$512.00	$59.94
99213 Established patient office or other outpatient visit, typically 15 minutes	33	28	$237.00	$83.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$359.00	$103.59
93926 Ultrasound of one leg arteries or artery grafts	20	19	$113.00	$21.00
93922 Ultrasound study of arm and leg arteries	19	17	$600.00	$67.14
36821 Relocation of arm vein with connection to arm artery, open procedure	17	17	$4585.00	$561.78
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	14	13	$7046.00	$377.15
93926 Ultrasound of one leg arteries or artery grafts	12	11	$943.83	$104.24
75716 Review by radiologist of both arms or legs arteries image	11	11	$1045.00	$83.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	66	46	$228.00	$84.98
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	63	51	$147.00	$11.18
76937 Ultrasonic guidance for blood vessel access	49	38	$137.00	$12.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	29	$350.00	$117.42
75625 Radiological supervision and interpretation X-ray of abdominal aorta	27	22	$492.00	$59.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$345.00	$104.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$520.00	$155.94
93922 Ultrasound study of arm and leg arteries	17	17	$56.00	$10.98
36482 Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance	15	13	$7408.00	$1587.84
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	13	11	$896.00	$75.23
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$142.00	$16.57
75716 Review by radiologist of both arms or legs arteries image	13	12	$1005.00	$79.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	71	46	$221.00	$84.48
76937 Ultrasonic guidance for blood vessel access	55	42	$133.00	$13.06
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	53	44	$143.00	$11.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	46	$340.00	$120.93
93922 Ultrasound study of arm and leg arteries	41	38	$54.00	$11.12
75625 Radiological supervision and interpretation X-ray of abdominal aorta	24	22	$478.00	$62.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$505.00	$153.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$335.00	$105.61
93926 Ultrasound of one leg arteries or artery grafts	21	19	$106.00	$21.87
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	20	14	$1804.00	$150.37
36821 Relocation of arm vein with connection to arm artery, open procedure	15	15	$4281.00	$582.74
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	14	$138.00	$17.33
36482 Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance	14	11	$7192.00	$1664.53
75716 Review by radiologist of both arms or legs arteries image	13	12	$976.00	$87.11
36832 Revision of dialysis graft, open procedure	12	11	$5177.00	$672.49
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	12	11	$6079.00	$211.09
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	11	11	$6578.00	$374.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$149.00	$53.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	84	68	$138.57	$11.89
76937 Ultrasonic guidance for blood vessel access	67	57	$128.46	$13.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	55	$329.08	$123.02
99213 Established patient office or other outpatient visit, typically 15 minutes	58	47	$214.48	$87.48
93922 Ultrasound study of arm and leg arteries	46	44	$52.00	$11.57
75625 Radiological supervision and interpretation X-ray of abdominal aorta	33	29	$464.00	$64.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$489.03	$160.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$324.66	$107.01
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	22	21	$133.27	$17.62
75716 Review by radiologist of both arms or legs arteries image	21	19	$948.00	$88.99
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	20	15	$1740.80	$156.71
36821 Relocation of arm vein with connection to arm artery, open procedure	18	17	$4149.28	$590.79
36832 Revision of dialysis graft, open procedure	16	15	$5007.75	$645.09
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	15	14	$845.00	$78.78
36246 Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch	14	14	$2472.00	$213.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	11	$178.57	$36.57
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	13	13	$5875.54	$216.16
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	12	11	$6386.00	$316.83
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$395.00	$94.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	97	79	$210.00	$71.94
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	93	66	$135.00	$11.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$314.72	$101.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	38	$140.00	$43.40
76937 Ultrasonic guidance for blood vessel access	46	44	$125.00	$14.07
75625 Radiological supervision and interpretation X-ray of abdominal aorta	38	32	$450.00	$66.28
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	17	$175.00	$37.83
93922 Ultrasound study of arm and leg arteries	25	25	$50.00	$12.00
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	24	20	$875.42	$81.66
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$385.00	$97.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$320.00	$104.65
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	19	16	$5730.00	$218.61
36246 Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch	19	18	$2526.32	$212.35
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	18	14	$3180.56	$224.21
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	17	14	$130.00	$18.07
75716 Review by radiologist of both arms or legs arteries image	15	15	$794.00	$91.55
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	15	13	$2024.00	$162.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	12	$260.00	$69.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	115	88	$135.00	$11.83
76937 Ultrasonic guidance for blood vessel access	70	57	$125.00	$13.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	49	$139.68	$42.99
99213 Established patient office or other outpatient visit, typically 15 minutes	63	54	$199.52	$70.18
93922 Ultrasound study of arm and leg arteries	57	53	$50.00	$11.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$299.81	$102.65
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	45	39	$2510.00	$155.85
75625 Radiological supervision and interpretation X-ray of abdominal aorta	45	37	$450.00	$52.33
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	28	25	$915.00	$78.45
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	27	20	$4950.00	$221.26
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	21	$175.00	$35.97
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	22	20	$130.00	$17.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$299.32	$101.61
93925 Ultrasound of leg arteries or artery grafts	21	20	$140.00	$37.72
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$225.00	$70.94
75716 Review by radiologist of both arms or legs arteries image	19	16	$710.00	$91.32
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	16	14	$5730.00	$212.60
36832 Revision of dialysis graft, open procedure	15	15	$4855.33	$696.76
37228 Balloon dilation of artery of leg, initial vessel	15	14	$7200.00	$453.65
93926 Ultrasound of one leg arteries or artery grafts	15	15	$100.00	$23.09
36246 Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch	13	12	$2400.00	$219.20
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$384.62	$95.98
93970 Ultrasound study of arm or leg veins with compression and maneuvers	11	11	$150.00	$33.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	123	100	$135.00	$11.94
93922 Ultrasound study of arm and leg arteries	99	89	$50.00	$11.89
99213 Established patient office or other outpatient visit, typically 15 minutes	79	71	$195.00	$68.47
76937 Ultrasonic guidance for blood vessel access	57	48	$125.00	$13.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	43	$135.00	$41.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$290.00	$102.44
75625 Radiological supervision and interpretation X-ray of abdominal aorta	41	39	$450.00	$52.61
93926 Ultrasound of one leg arteries or artery grafts	39	32	$89.23	$22.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	23	$175.00	$37.49
99221 Initial hospital inpatient care per day, typically 30 minutes	31	30	$380.00	$96.12
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	30	27	$130.00	$17.90
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	30	27	$915.00	$81.18
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	30	18	$4950.00	$218.03
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	30	27	$2510.00	$158.17
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$225.00	$71.58
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	19	17	$5730.00	$231.18
36246 Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch	16	14	$2400.00	$230.67
36832 Revision of dialysis graft, open procedure	15	14	$4510.00	$685.46
75716 Review by radiologist of both arms or legs arteries image	13	13	$710.00	$91.57
36821 Relocation of arm vein with connection to arm artery, open procedure	11	11	$4035.00	$614.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	90	78	$185.00	$69.85
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	83	73	$175.00	$11.85
93922 Ultrasound study of arm and leg arteries	60	53	$215.00	$11.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$290.00	$102.54
76937 Ultrasonic guidance for blood vessel access	43	40	$175.00	$13.95
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	34	31	$2955.00	$136.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	30	$145.00	$40.85
93926 Ultrasound of one leg arteries or artery grafts	29	25	$335.00	$23.20
75625 Radiological supervision and interpretation X-ray of abdominal aorta	29	29	$475.00	$53.16
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	26	22	$5890.00	$201.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	15	$185.00	$37.60
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	23	20	$545.00	$53.50
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$225.00	$71.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$270.00	$102.87
36246 Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch	19	18	$2400.00	$236.32
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	18	18	$200.00	$18.29
93925 Ultrasound of leg arteries or artery grafts	17	14	$505.00	$38.00
75716 Review by radiologist of both arms or legs arteries image	16	16	$630.00	$58.52
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$385.00	$96.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	13	$260.00	$69.44
36200 Insertion of catheter into aorta	14	14	$3593.57	$103.70
93970 Ultrasound study of arm or leg veins with compression and maneuvers	12	12	$360.00	$33.46
75952 Radiological supervision and interpretation of repair of artery of abdomen procedure	11	11	$4125.00	$208.13
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$3740.00	$324.09
36832 Revision of dialysis graft, open procedure	11	11	$4781.27	$721.15

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License WI 60546-20

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Hospital & Practice Group Affiliations

Fox Valley Surgical Associates Ltd

2000 E Milestone Dr, Appleton, WI 549136701

Phone: 9207318131

Practice Associates & Co-Workers

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

40 Associated Practitioners

Alexis Welhouse , CST

Specialist/Technologist, Other - Surgical Technologist

NPI 1013763556

Dr. Philip Vogt , MD

Surgery

NPI 1013909647

Doctor of Medicine (M.D.)

Jessica Buchberger , CST

Specialist/Technologist, Other - Surgical Technologist

NPI 1023564044

Janene Ray , ST

Specialist/Technologist, Other - Surgical Technologist

NPI 1093370363

Jeanne Brochtrup , CST

Specialist/Technologist, Other - Surgical Technologist

NPI 1093708836

Dr. Katherine Deangeli , MD

Surgery

NPI 1104211374

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 16, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 16, 2013

Registered at 1818 N MEADE ST, SUITE 240 WEST, APPLETON, WI 549113454 (Tel: 9207318131)

📍

Updated Business Mailing Address July 16, 2013

Registered at 1818 N MEADE ST, SUITE 240 WEST, APPLETON, WI 549113454 (Tel: 9207318131)

👤

Provider Name / Credentials Updated July 16, 2013

Recorded as ALEXANDER TRETINYAK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2013

Surgery (License #60546-20 in WI)

🟢

Initial NPI Registration & Enumeration May 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1073566030

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 18, 2006

Last Update: July 16, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1818 N Meade St, Suite 240 West

Appleton, WI 549113454

Phone: 9207318131

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.