Active NPI 1376984229 Individual Practitioner Male Practitioner

Michael A Puglisi , PA-C

Physician Assistant • Berlin, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Puglisi, PA-C is a certified Physician Assistant practicing in Berlin, WI. With approximately 13 years of clinical experience since completing medical education in 2013, Michael Puglisi delivers high-quality medical care to the local community at 225 MEMORIAL DR STE 1100.

Michael Puglisi is affiliated with Thedacare, Incorporated and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

225 Memorial Dr Ste 1100

Berlin, WI 549231243

Telephone 9203615535

Fax 9203616337

Associated Practice Facility / Clinic

🏢 Thedacare Aco, Llc Facility NPI 1033519046

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Berlin, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +0.4 yrs vs City Avg

City Avg: 12.6 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

6 Specialists

Practicing in Berlin, WI (3517 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Puglisi (13 Years) 13 Yrs

Berlin Specialty Average (12.6 Years) 12.6 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
99213 Established patient office or other outpatient visit, typically 15 minutes	36	34	$263.00	$72.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$389.80	$102.43
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	12	12	$300.00	$50.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	72	69	$255.80	$72.49
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	22	22	$300.00	$50.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$350.30	$89.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	88	83	$244.10	$72.11
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	41	39	$374.85	$50.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$361.85	$103.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$333.85	$89.94
36415 Insertion of needle into vein for collection of blood sample	15	14	$16.05	$2.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	60	57	$236.45	$74.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	28	$347.41	$103.15
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	24	24	$367.50	$51.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$324.14	$90.96
36415 Insertion of needle into vein for collection of blood sample	11	11	$15.75	$3.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	33	33	$225.72	$61.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$334.58	$89.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	34	32	$209.00	$60.42
81003 Automated urinalysis test	15	13	$10.14	$2.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$309.80	$88.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	62	58	$199.00	$59.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	46	$295.00	$88.05
81003 Automated urinalysis test	19	19	$9.79	$2.71
36415 Insertion of needle into vein for collection of blood sample	11	11	$11.88	$2.94

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	32	28	$267.00	$88.11
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$183.25	$59.47
36415 Insertion of needle into vein for collection of blood sample	15	13	$34.00	$2.94

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 3428-23

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.

Hospital & Practice Group Affiliations

Thedacare, Incorporated

225 Memorial Dr, Berlin, WI 549231243

Secondary Practice Locations

752 N High Point Rd

Madison, WI 537172236

Phone: 6088244000

Practice Associates & Co-Workers

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

2 Associated Practitioners

Janelle Vogler , PA-C

Physician Assistant

NPI 1285010439

Physician Assistant (Certified)

Amber Trochinski , PA

Physician Assistant

NPI 1790709459

Physician Assistant

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active November 22, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location November 22, 2017

Registered at 225 MEMORIAL DR STE 1100, BERLIN, WI 549231243 (Tel: 9203615535)

📍

Updated Business Mailing Address November 22, 2017

Registered at 122 E COLLEGE AVE, APPLETON, WI 549115794 (Tel: 9209963264)

👤

Provider Name / Credentials Updated November 22, 2017

Recorded as MICHAEL PUGLISI, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2017

Physician Assistant (License #3428-23 in WI)

✅

NPI Profile Active November 16, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 16, 2015

Registered at 752 N HIGH POINT RD, MADISON, WI 537172236 (Tel: 6088244000)

📍

Updated Business Mailing Address November 16, 2015

Registered at 752 N HIGH POINT RD, MADISON, WI 537172236 (Tel: 6088244000)

👤

Provider Name / Credentials Updated November 16, 2015

Recorded as MICHAEL PUGLISI, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2015

Physician Assistant (License #3428-23 in WI)

🟢

Initial NPI Registration & Enumeration July 08, 2013

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: 1376984229

Entity Type:

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

Enumeration Date: July 08, 2013

Last Update: November 22, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

122 E College Ave

Appleton, WI 549115794

Phone: 9209963264

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.