Active NPI 1386673481 Individual Practitioner Male Practitioner

Dr. Darrin Antonelli , MD

Surgery • Black River Falls, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Darrin Antonelli, MD is a certified Surgery practicing in Black River Falls, WI. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Antonelli delivers high-quality medical care to the local community at 610 W ADAMS ST.

Dr. Antonelli is affiliated with Black River Health Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of polyps or growths of large bowel using an endoscope with mechanical snare. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

610 W Adams St

Black River Falls, WI 546159010

Telephone 7152844311

Fax 7152842568

Associated Practice Facility / Clinic

🏢 Krohn Clinic Ltd. Facility NPI 1790777621

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Black River Falls, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +5.5 yrs vs City Avg

City Avg: 25.5 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

2 Specialists

Practicing in Black River Falls, WI (765 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

87.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Antonelli (31 Years) 31 Yrs

Black River Falls Specialty Average (25.5 Years) 25.5 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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$167.53	$53.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$359.88	$122.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$344.00	$105.40
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$3344.09	$232.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$328.00	$106.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	20	$165.00	$54.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$345.00	$122.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$465.00	$171.72
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$2277.00	$171.46
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$3227.00	$236.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	23	$465.00	$174.20
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	20	20	$2277.00	$166.36
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	16	$3227.00	$240.67
45380 Biopsy of large bowel using an endoscope	17	17	$2883.00	$159.70
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$1843.00	$77.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$322.58	$106.82
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$2277.00	$174.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	27	$464.64	$175.20
45380 Biopsy of large bowel using an endoscope	16	16	$2883.00	$155.99
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$1843.00	$102.48
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$2285.09	$177.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	25	25	$2854.00	$153.11
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$2366.00	$181.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$460.00	$142.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$312.00	$96.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	27	27	$2818.74	$163.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$286.18	$105.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$154.62	$43.61
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$2321.87	$181.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$458.85	$141.16
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$1825.00	$80.25

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	28	23	$284.00	$103.19
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$196.00	$69.92
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$2232.00	$179.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$455.00	$139.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$153.00	$41.95
45380 Biopsy of large bowel using an endoscope	11	11	$2601.36	$163.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	35	$449.65	$138.53
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	31	18	$61.00	$10.29
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	18	18	$178.00	$55.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$280.39	$102.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$151.25	$40.56
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$2175.27	$164.35

Medical Specialties & State Licenses

CMS Verified: 2025-06-30

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 42121

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

32648400 (WI)

Hospital & Practice Group Affiliations

Black River Health Inc

711 W Adams St, Black River Falls, WI 546155052

Phone: 7152845361

Secondary Practice Locations

711 W Adams St

Black River Falls, WI 546155052

Phone: 7152845361

Practice Associates & Co-Workers

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

22 Associated Practitioners

Dr. Kirk Lane , MD

Family Medicine

NPI 1003840372

Doctor of Medicine (M.D.)

Dr. Michelle Clark-Forsting , MD

Family Medicine

NPI 1093073975

Doctor of Medicine (M.D.)

Dr. Delbert Rogers , MD

Family Medicine

NPI 1124053202

Doctor of Medicine (M.D.)

Dr. Beau Vesely , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1164833430

Doctor of Podiatric Medicine

Dr. Jeffrey Polzin , MD

Family Medicine

NPI 1205866191

Doctor of Medicine (M.D.)

Dr. Stephanie Bantell , MD

Family Medicine

NPI 1225314131

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 February 12, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location February 12, 2010

Registered at 610 W ADAMS ST, BLACK RIVER FALLS, WI 546159010 (Tel: 7152844311)

📍

Updated Business Mailing Address February 12, 2010

Registered at 610 W ADAMS ST, BLACK RIVER FALLS, WI 546159010 (Tel: 7152844311)

👤

Provider Name / Credentials Updated February 12, 2010

Recorded as DARRIN ANTONELLI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2010

Surgery (License #42121 in WI)

🟢

Initial NPI Registration & Enumeration July 01, 2006

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: 1386673481

Entity Type:

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

Enumeration Date: July 01, 2006

Last Update: June 30, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

610 W Adams St

Black River Falls, WI 546159010

Phone: 7152844311

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.