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Active NPI 1124317847 Individual Practitioner Male Practitioner

Dr. John Nicholas Moustoukas , MD

Emergency Medicine • Manitowoc, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Moustoukas, MD is a certified Emergency Medicine practicing in Manitowoc, WI. With approximately 15 years of clinical experience since graduating from Tulane University School Of Medicine in 2011, Dr. Moustoukas delivers high-quality medical care to the local community at 2300 WESTERN AVE.

Dr. Moustoukas is affiliated with Sos Care Midwest Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2300 Western Ave

Manitowoc, WI 542203712

Telephone 9203202436
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Tulane University School Of Medicine

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Manitowoc, WI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs -11.3 yrs vs City Avg
City Avg: 26.3 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
7 Specialists

Practicing in Manitowoc, WI (1497 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
85.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moustoukas (15 Years) 15 Yrs
Manitowoc Specialty Average (26.3 Years) 26.3 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
99284 Emergency department visit with moderate level of medical decision making
102 100 $713.80 $115.01
99285 Emergency department visit for life threatening or functioning severity
72 72 $1602.26 $178.04
99291 Critical care, first 30-74 minutes
23 23 $1869.13 $213.20
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
21 17 $20.00 $7.49
99213 Established patient office or other outpatient visit, typically 15 minutes
18 18 $130.78 $60.88
99283 Emergency department visit with low level of medical decision making
13 13 $285.31 $67.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
11 11 $161.00 $75.48

Medical Specialties & State Licenses

CMS Verified: 2025-07-23
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License IL 036.134200

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License IN 01073262A

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Hospital & Practice Group Affiliations

Sos Care Midwest Pllc

2 Northfield Plz, Northfield, IL 600931210

Phone: 8472608169

Practice Associates & Co-Workers

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

21 Associated Practitioners
Dr. John Olsen , MD

Psychiatry & Neurology - Psychiatry

NPI 1033389085

Doctor of Medicine (M.D.)

Jessica Lietzan , FNP-C

Nurse Practitioner - Family

NPI 1043901085

Family Nurse Practitioner (Certified)

Veronica Mcfarlane , APNP

Nurse Practitioner

NPI 1063809499

Advanced Practice Nurse Prescriber

Nicole Artamenko , FNP-C

Nurse Practitioner - Family

NPI 1083312409

Family Nurse Practitioner (Certified)

Alicia Krimmer , NP

Nurse Practitioner - Family

NPI 1144044322

Nurse Practitioner

Dr. Olivia Lechman , DPT

Physical Therapist

NPI 1154201259

Doctor of Physical Therapy

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 23, 2025

Registered at 2300 WESTERN AVE, MANITOWOC, WI 542203712 (Tel: 9203202436)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2025

Emergency Medicine (License #01073262A in IN)

NPI Profile Active January 27, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 27, 2015

Registered at 120 N OAK ST, HINSDALE, IL 605213829 (Tel: 6308566782)

📍
Updated Business Mailing Address January 27, 2015

Registered at 2325 N WAYNE AVE, CHICAGO, IL 606143118 (Tel: 5046691233)

👤
Provider Name / Credentials Updated January 27, 2015

Recorded as JOHN MOUSTOUKAS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2015

Emergency Medicine (License #036.134200 in IL)

🟢
Initial NPI Registration & Enumeration April 04, 2011

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: 1124317847
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2011
Last Update: July 23, 2025
Sole Proprietor: No

Mailing Address

2325 N Wayne Ave

Chicago, IL 606143118

Phone: 5046691233

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.