Active NPI 1851373641 Individual Practitioner Male Practitioner

Dr. Robert H Mikkelsen , MD

Surgery • Fond Du Lac, WI

Professional Overview & Biography Verified Profile Summary

Dr. Robert Mikkelsen, MD is a registered healthcare professional specializing in Surgery in Fond Du Lac, WI. Practice services are available at 420 E DIVISION ST under active NPI credentials.

Frequently performed procedures and clinical services include removal of skin and tissue, 20.0 sq cm or less, established patient outpatient office visit, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

420 E Division St

Fond Du Lac, WI 549354560

Telephone 9209268485

Associated Practice Facility / Clinic

🏢 Agnesian Healthcare Inc Facility NPI 1730162991

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fond Du Lac, WI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 27.7 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

10 Specialists

Practicing in Fond Du Lac, WI (765 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

87.3% 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 (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	63	42	$610.97	$57.34
11042 Removal of skin and tissue, 20.0 sq cm or less	37	22	$541.80	$57.34
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$232.07	$61.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	29	25	$752.74	$59.81
11042 Removal of skin and tissue, 20.0 sq cm or less	19	16	$498.98	$59.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$145.88	$25.08

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	56	38	$148.50	$43.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	11	$179.83	$38.08
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$238.85	$73.73
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	16	16	$88.69	$5.22
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$206.86	$71.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	11	$255.18	$70.54
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$400.55	$97.27

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	59	35	$142.32	$41.97
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	33	32	$85.18	$5.16
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	20	$177.77	$37.49
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$231.88	$71.70
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$392.40	$96.23
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$199.00	$67.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	14	$251.71	$69.80

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	65	44	$136.23	$41.22
99231 Follow-up hospital inpatient care per day, typically 15 minutes	48	32	$180.75	$37.66
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	27	25	$82.22	$5.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	21	$257.09	$69.44
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$400.50	$96.53
99201 New patient office or other outpatient visit, typically 10 minutes	15	15	$183.80	$41.78
99238 Hospital discharge day management, 30 minutes or less	13	13	$283.00	$69.81
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$186.77	$68.30

Medical Specialties & State Licenses

CMS Verified: 2020-11-17

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 20061

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

31076000 (WI)

Commercial Insurance / Payer ID Railroad Medicare

020048727 (WI)

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Christopher Nervi , MD

Surgery

NPI 1144382656

Doctor of Medicine (M.D.)

Dr. Yasir Hatahet , MD

Internal Medicine - Pulmonary Disease

NPI 1407837537

Doctor of Medicine (M.D.)

Dr. Joseph Puskar , MD

Family Medicine

NPI 1659333482

Doctor of Medicine (M.D.)

Dr. Joanne Pasiuk , MD

Surgery

NPI 1700954682

Doctor of Medicine (M.D.)

Dr. Steven Cahee , MD

Surgery

NPI 1871576769

Doctor of Medicine (M.D.)

Dr. Traci Kruse , MD

Surgery

NPI 1942375324

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address November 17, 2020

Registered at 420 E DIVISION ST, FOND DU LAC, WI 549354560 (Tel: 9209268485)

📍

Updated Business Mailing Address March 31, 2020

Registered at 3NC, 101 N COMMERCIAL ST, NEENAH, WI 54956 (Tel: 9209963264)

✅

NPI Profile Active March 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 02, 2016

Registered at 420 E DIVISION ST, FOND DU LAC, WI 549354560 (Tel: 9209268485)

📍

Updated Business Mailing Address March 02, 2016

Registered at 420 E DIVISION ST, FOND DU LAC, WI 549354560 (Tel: 9209268340)

👤

Provider Name / Credentials Updated March 02, 2016

Recorded as ROBERT MIKKELSEN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2016

Surgery (License #20061 in WI)

🟢

Initial NPI Registration & Enumeration November 16, 2005

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: 1851373641

Entity Type:

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

Enumeration Date: November 16, 2005

Last Update: November 17, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

420 E Division St

Fond Du Lac, WI 549354560

Phone: 9209268485

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.