Active NPI 1366541369 Individual Practitioner Male Practitioner

Dr. Michael A Netzel , MD

Allergy & Immunology • Monroe, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Michael Netzel, MD is a certified Allergy & Immunology practicing in Monroe, WI. With approximately 39 years of clinical experience since graduating from Creighton University School Of Medicine in 1987, Dr. Netzel delivers high-quality medical care to the local community at 515 22ND AVE.

Dr. Netzel is affiliated with The Monroe Clinic, Inc. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, test to measure expiratory airflow and volume changes before and after medication administration. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

515 22nd Ave

Monroe, WI 535661569

Telephone 6083242000

Associated Practice Facility / Clinic

🏢 The Monroe Clinic, Inc. Facility NPI 1740291491

Medicare Profile & Education

Medical School

Creighton University School Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Allergy & Immunology in Monroe, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs Matches City Avg

City Avg: 39.0 Yrs

State Avg: 24.8 Yrs

Regional Practice Density

1 Specialists

Practicing in Monroe, WI (71 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

85.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Netzel (39 Years) 39 Yrs

Monroe Specialty Average (39.0 Years) 39.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	548	393	$288.45	$90.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$390.00	$123.05
94060 Test to measure expiratory airflow and volume changes before and after medication administration	100	98	$407.00	$9.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	84	23	$276.00	$72.95
94729 Test to examine how well the lungs exchange gases	82	77	$458.00	$8.21
94726 Determination of lung volumes using plethysmography	78	73	$470.00	$11.12
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	54	52	$645.96	$114.55
95810 Sleep monitoring of patient (6 years or older) in sleep lab	44	44	$627.00	$110.21
94010 Test to measure expiratory airflow and volume	35	31	$135.00	$7.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	12	$415.00	$109.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	27	$683.00	$160.06
99213 Established patient office or other outpatient visit, typically 15 minutes	26	26	$217.23	$61.22
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	22	22	$1179.00	$44.55
95800 Sleep study including heart rate, breathing, and sleep time	15	15	$267.00	$36.74

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	459	339	$258.56	$93.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	123	28	$284.63	$75.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$429.43	$126.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	67	18	$414.00	$113.77
99213 Established patient office or other outpatient visit, typically 15 minutes	65	65	$146.62	$62.96
94060 Test to measure expiratory airflow and volume changes before and after medication administration	54	54	$407.00	$9.84
94726 Determination of lung volumes using plethysmography	44	43	$470.00	$11.52
94729 Test to examine how well the lungs exchange gases	44	43	$458.00	$8.50
95810 Sleep monitoring of patient (6 years or older) in sleep lab	41	41	$1192.68	$112.60
94200 Test to measure largest amount of air breathed in an out	38	37	$140.00	$2.45
94375 Diagnostic testing in a pulmonary function lab	37	36	$259.00	$13.86
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	36	36	$1229.76	$118.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	29	$733.26	$165.87
94010 Test to measure expiratory airflow and volume	19	19	$135.00	$7.82
95800 Sleep study including heart rate, breathing, and sleep time	17	17	$209.00	$38.97
99442 Telephone medical discussion with physician, 11-20 minutes	17	17	$272.88	$62.94

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	536	382	$202.26	$94.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	135	135	$455.06	$128.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	120	27	$298.00	$68.10
99213 Established patient office or other outpatient visit, typically 15 minutes	93	91	$103.37	$64.17
94060 Test to measure expiratory airflow and volume changes before and after medication administration	52	52	$407.00	$10.06
94200 Test to measure largest amount of air breathed in an out	43	41	$140.00	$2.81
94729 Test to examine how well the lungs exchange gases	43	41	$458.00	$8.65
94726 Determination of lung volumes using plethysmography	43	41	$470.00	$11.75
94375 Diagnostic testing in a pulmonary function lab	43	41	$259.00	$14.13
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	38	37	$1754.00	$121.41
95810 Sleep monitoring of patient (6 years or older) in sleep lab	30	29	$1680.00	$116.85
95800 Sleep study including heart rate, breathing, and sleep time	26	26	$200.81	$40.07
99442 Telephone medical discussion with physician, 11-20 minutes	21	21	$267.00	$87.68
99442 Telephone medical discussion with physician, 11-20 minutes	19	19	$267.00	$64.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$637.00	$128.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$222.63	$78.92

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	524	390	$202.26	$96.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	159	29	$414.00	$99.13
99213 Established patient office or other outpatient visit, typically 15 minutes	158	149	$96.00	$64.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	133	133	$451.00	$130.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	123	32	$298.00	$68.93
94060 Test to measure expiratory airflow and volume changes before and after medication administration	79	78	$407.00	$10.17
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	48	46	$1754.00	$122.03
94729 Test to examine how well the lungs exchange gases	45	43	$458.00	$8.79
94200 Test to measure largest amount of air breathed in an out	43	41	$140.00	$3.52
94375 Diagnostic testing in a pulmonary function lab	43	41	$259.00	$14.34
94726 Determination of lung volumes using plethysmography	43	41	$470.00	$11.91
99442 Telephone medical discussion with physician, 11-20 minutes	40	40	$267.00	$88.25
95810 Sleep monitoring of patient (6 years or older) in sleep lab	39	39	$1680.00	$118.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	38	$795.00	$192.01
94010 Test to measure expiratory airflow and volume	16	16	$245.00	$8.08
95806 Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort	14	14	$684.00	$44.10
95800 Sleep study including heart rate, breathing, and sleep time	12	12	$179.00	$40.65
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	11	11	$96.00	$11.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$637.00	$129.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	665	487	$92.20	$49.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	173	40	$284.00	$70.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	113	113	$430.00	$125.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	103	34	$394.00	$102.33
94060 Test to measure expiratory airflow and volume changes before and after medication administration	57	57	$388.00	$13.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	52	49	$757.00	$197.44
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	52	51	$1670.00	$126.11
99442 Telephone medical discussion with physician, 11-20 minutes	43	41	$254.00	$73.12
94375 Diagnostic testing in a pulmonary function lab	38	38	$246.00	$14.87
94729 Test to examine how well the lungs exchange gases	38	38	$436.00	$9.12
94200 Test to measure largest amount of air breathed in an out	37	37	$129.00	$4.36
94726 Determination of lung volumes using plethysmography	36	36	$448.00	$12.35
95810 Sleep monitoring of patient (6 years or older) in sleep lab	35	32	$1600.00	$121.52
94010 Test to measure expiratory airflow and volume	20	20	$227.00	$8.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$193.00	$77.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$191.13	$73.18
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	14	13	$1935.00	$59.01
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	14	13	$85.00	$12.07
95806 Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort	14	14	$651.00	$45.47
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$222.00	$73.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	866	601	$92.74	$49.25
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	459	321	$131.03	$8.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	203	52	$284.00	$70.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	176	176	$318.58	$124.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	120	29	$394.00	$100.95
94060 Test to measure expiratory airflow and volume changes before and after medication administration	102	102	$183.53	$12.94
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	85	80	$1662.94	$124.93
95810 Sleep monitoring of patient (6 years or older) in sleep lab	58	57	$1394.99	$120.30
94729 Test to examine how well the lungs exchange gases	49	48	$127.53	$8.87
94375 Diagnostic testing in a pulmonary function lab	47	46	$157.94	$14.42
94726 Determination of lung volumes using plethysmography	47	46	$169.21	$12.23
94200 Test to measure largest amount of air breathed in an out	43	42	$46.59	$5.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	36	$607.00	$131.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	30	$757.00	$196.17
94010 Test to measure expiratory airflow and volume	28	27	$92.56	$8.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$183.41	$73.20
32554 Removal of fluid from chest cavity	20	12	$2161.03	$85.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$206.68	$76.59
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	14	14	$68.00	$12.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	913	592	$88.81	$49.01
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	508	373	$126.59	$8.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	178	178	$340.48	$123.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	164	36	$273.00	$69.80
94060 Test to measure expiratory airflow and volume changes before and after medication administration	130	129	$226.93	$12.76
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	75	71	$1451.00	$122.29
95810 Sleep monitoring of patient (6 years or older) in sleep lab	70	70	$1340.00	$117.60
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	67	22	$376.00	$100.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	37	$584.00	$130.64
94729 Test to examine how well the lungs exchange gases	34	33	$111.00	$8.89
94375 Diagnostic testing in a pulmonary function lab	33	32	$165.00	$14.50
94010 Test to measure expiratory airflow and volume	32	32	$128.00	$8.19
94726 Determination of lung volumes using plethysmography	31	30	$175.00	$12.05
94200 Test to measure largest amount of air breathed in an out	30	29	$71.00	$5.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$191.21	$72.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$186.00	$75.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	916	580	$88.43	$48.84
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	523	348	$122.18	$8.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	170	55	$273.00	$69.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	136	136	$309.76	$123.13
94060 Test to measure expiratory airflow and volume changes before and after medication administration	110	110	$218.00	$12.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	92	28	$376.00	$100.23
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	63	62	$1397.00	$123.56
95810 Sleep monitoring of patient (6 years or older) in sleep lab	54	54	$1290.00	$118.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	51	$584.00	$131.01
94729 Test to examine how well the lungs exchange gases	53	48	$107.00	$8.91
94375 Diagnostic testing in a pulmonary function lab	49	45	$159.00	$14.49
94726 Determination of lung volumes using plethysmography	46	43	$168.00	$12.04
94200 Test to measure largest amount of air breathed in an out	45	41	$68.00	$5.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$179.00	$73.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$183.62	$75.57
94010 Test to measure expiratory airflow and volume	23	23	$123.00	$8.20
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	12	11	$1166.00	$15.39
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	11	11	$80.73	$5.21

Medical Specialties & State Licenses

CMS Verified: 2020-12-23

Allergy & Immunology Primary Specialty

NUCC Taxonomy Code: 207K00000X

State License WI 36513

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Internal Medicine - Pulmonary Disease

NUCC Taxonomy Code: 207RP1001X

State License WI 36513

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

32118200 (WI)

Commercial Insurance / Payer ID Wps

390808509

Commercial Insurance / Payer ID Physicians Plus

1002514

Commercial Insurance / Payer ID Cigna

390808509

Commercial Insurance / Payer ID Tricare

520863353

Commercial Insurance / Payer ID Wea Ins

90002361

Commercial Insurance / Payer ID Medicare Part B

3500226

Commercial Insurance / Payer ID Ct General

390808509

Commercial Insurance / Payer ID Medicaid Dean

11017

Commercial Insurance / Payer ID Hirsp

32118200

Hospital & Practice Group Affiliations

The Monroe Clinic, Inc.

515 22nd Ave, Monroe, WI 535661569

Phone: 6083242000

Practice Associates & Co-Workers

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

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Nurse Practitioner

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Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 515 22ND AVE, MONROE, WI 535661569 (Tel: 6083242000)

📍

Updated Business Mailing Address July 08, 2007

Registered at 515 22ND AVE, MONROE, WI 535661569 (Tel: 6083242000)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL NETZEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Allergy & Immunology (License #36513 in WI)

🟢

Initial NPI Registration & Enumeration September 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1366541369

Entity Type:

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

Enumeration Date: September 22, 2006

Last Update: December 23, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

515 22nd Ave

Monroe, WI 535661569

Phone: 6083242000

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.