Active NPI 1962484568 Individual Practitioner Female Practitioner

Dr. Toni L Stanley , MD

Surgery • Fond Du Lac, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Toni Stanley, MD is a certified Surgery practicing in Fond Du Lac, WI. With approximately 33 years of clinical experience since graduating from Medical College Of Wisconsin in 1993, Dr. Stanley delivers high-quality medical care to the local community at 420 E DIVISION ST.

Dr. Stanley is affiliated with Agnesian Healthcare Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, partial removal of breast. 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

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fond Du Lac, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +5.3 yrs vs City Avg

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

61.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stanley (33 Years) 33 Yrs

Fond Du Lac Specialty Average (27.7 Years) 27.7 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	33	32	$127.79	$60.68
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$249.00	$85.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	56	52	$236.50	$85.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$515.80	$152.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	15	$164.00	$50.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$337.00	$116.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	67	58	$227.00	$87.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	14	$160.00	$53.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$497.00	$160.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$349.00	$104.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$323.00	$123.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	61	56	$219.15	$87.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	24	$155.00	$53.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$477.00	$161.21
19301 Partial removal of breast	13	11	$2614.00	$587.14
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$420.00	$95.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	46	41	$212.00	$72.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$152.00	$44.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$468.00	$159.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$308.00	$105.99
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$4218.00	$226.14
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$5130.00	$297.29
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$212.00	$18.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	59	56	$206.25	$71.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	21	$148.62	$43.61
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$238.43	$73.72
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	15	11	$9702.00	$1382.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$459.14	$158.56
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$399.54	$97.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	47	43	$199.38	$69.84
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	15	$178.29	$37.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	19	$143.57	$41.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$287.19	$100.01
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$230.18	$71.83
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$392.57	$96.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$307.45	$102.53

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	45	36	$277.22	$103.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	30	$135.74	$41.62
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$220.00	$71.33
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$188.05	$68.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$422.67	$156.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$292.67	$90.20
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$395.73	$96.53

Medical Specialties & State Licenses

CMS Verified: 2020-11-24

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 46615

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

34504600 (WI)

Commercial Insurance / Payer ID Railroad Medicare

P00141744 (WI)

Hospital & Practice Group Affiliations

Agnesian Healthcare Inc

430 E Division St, Fond Du Lac, WI 549354560

Phone: 9209292300

Agnesian Healthcare Inc

420 E Division St, Fond Du Lac, WI 549354560

Phone: 9209237400

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. Robert Mikkelsen , MD

Surgery

NPI 1851373641

Doctor of Medicine (M.D.)

Dr. Steven Cahee , MD

Surgery

NPI 1871576769

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 March 03, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 03, 2016

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

📍

Updated Business Mailing Address March 03, 2016

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

👤

Provider Name / Credentials Updated March 03, 2016

Recorded as TONI STANLEY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2016

Surgery (License #46615 in WI)

🟢

Initial NPI Registration & Enumeration November 18, 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: 1962484568

Entity Type:

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

Enumeration Date: November 18, 2005

Last Update: November 24, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

420 E Division St

Fond Du Lac, WI 549354560

Phone: 9209268340

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.