Active NPI 1629185061 Individual Practitioner Male Practitioner

Dr. David Needle , MD

Surgery • Pleasant Prairie, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Needle, MD is a certified Surgery practicing in Pleasant Prairie, WI. With approximately 37 years of clinical experience since graduating from Emory University School Of Medicine in 1989, Dr. Needle delivers high-quality medical care to the local community at 12500 AURORA DR.

Dr. Needle maintains professional affiliations with Aurora Medical Group, Inc., Aurora Health Care Metro, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12500 Aurora Dr

Pleasant Prairie, WI 531581227

Telephone 2628575000

Associated Practice Facility / Clinic

🏢 Aurora Quick Care, Llc Facility NPI 1609820729

Medicare Profile & Education

Medical School

Emory University School Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Pleasant Prairie, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +6.2 yrs vs City Avg

City Avg: 30.8 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Pleasant Prairie, WI (765 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

87.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Needle (37 Years) 37 Yrs

Pleasant Prairie Specialty Average (30.8 Years) 30.8 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	46	37	$507.50	$118.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$743.21	$150.72
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	33	20	$525.00	$109.27
99213 Established patient office or other outpatient visit, typically 15 minutes	32	25	$350.00	$85.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	28	$915.00	$160.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	19	$390.00	$72.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$510.00	$103.53
49650 Repair of groin hernia using an endoscope	11	11	$5978.18	$480.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$720.00	$156.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	23	$490.00	$119.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	15	$370.00	$75.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$485.00	$102.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$875.00	$165.87
99213 Established patient office or other outpatient visit, typically 15 minutes	19	17	$330.00	$78.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	23	$355.00	$67.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$460.00	$107.19
99213 Established patient office or other outpatient visit, typically 15 minutes	31	28	$313.00	$87.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	24	$835.00	$181.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$687.00	$159.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$477.11	$117.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	11	$480.00	$98.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	26	$330.00	$69.19
99213 Established patient office or other outpatient visit, typically 15 minutes	37	31	$295.00	$84.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$430.00	$108.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	28	$790.00	$192.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	27	$432.93	$116.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$613.15	$155.36
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	16	$450.00	$99.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$210.00	$54.52
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$300.00	$70.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$554.55	$130.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	26	$315.00	$70.85
99213 Established patient office or other outpatient visit, typically 15 minutes	42	33	$284.19	$72.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$558.06	$154.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	24	$415.67	$103.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	21	$510.00	$133.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	16	$200.00	$43.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$407.00	$104.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$590.00	$143.15
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$286.00	$73.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	66	25	$307.00	$70.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$389.00	$104.20
99213 Established patient office or other outpatient visit, typically 15 minutes	45	39	$271.22	$70.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	30	$393.00	$102.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$546.18	$154.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$488.00	$132.39
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	21	21	$6400.00	$308.40
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$273.00	$73.75
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	21	21	$204.00	$17.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$191.00	$43.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$721.00	$192.68
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$7596.43	$662.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	70	64	$255.83	$68.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	60	$374.00	$102.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	29	$292.00	$69.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	53	53	$516.02	$133.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$465.00	$130.64
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	14	$207.00	$37.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	12	$182.00	$39.44
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$6040.00	$308.53
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$198.00	$17.90
38900 Lymph node imaging during surgery	12	12	$915.00	$115.80
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$399.00	$96.12
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$6880.00	$629.97

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	57	57	$508.82	$134.23
99213 Established patient office or other outpatient visit, typically 15 minutes	57	52	$242.25	$67.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	53	$356.00	$102.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	23	$278.00	$69.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$457.00	$131.15
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	15	15	$4936.00	$258.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$173.00	$41.61
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$5685.00	$324.09
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$192.00	$18.29
49650 Repair of groin hernia using an endoscope	12	12	$3957.33	$401.25
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$6525.00	$649.68
38900 Lymph node imaging during surgery	11	11	$861.00	$128.69
19301 Partial removal of breast	11	11	$2498.00	$563.86

Medical Specialties & State Licenses

CMS Verified: 2024-06-11

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 48221

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

34652500 (WI)

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

1020 N 12th St, Milwaukee, WI 532331308

Phone: 4142193056

Aurora Health Care Metro, Inc.

6811 118th Ave, Kenosha, WI 531428420

Phone: 2628575750

Aurora Medical Group, Inc.

855 N Westhaven Dr, Oshkosh, WI 549047668

Phone: 9203038700

Aurora Medical Group, Inc.

12500 Aurora Dr, Pleasant Prairie, WI 531581227

Phone: 2628575000

Aurora Medical Group, Inc.

10400 75th St, Kenosha, WI 531427884

Phone: 2629487000

Aurora Medical Group, Inc.

6815 118th Ave, Kenosha, WI 531428420

Phone: 8776667223

Aurora Medical Group, Inc.

13250 Washington Ave, Mount Pleasant, WI 531771516

Phone: 2628844000

Secondary Practice Locations

10400 75th St

Kenosha, WI 531427884

Phone: 2628575750

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Alexis Ventura , DNP, CRNA

Nurse Anesthetist, Certified Registered

NPI 1003475609

Doctor of Nursing Practice, Certified Registered Nurse Anesthetist

William Lyon , PT

Physical Therapist

NPI 1023791241

Physical Therapist

Lauren Gehrig , NP

Nurse Practitioner

NPI 1023866183

Nurse Practitioner

Dr. Stephanie Frederickson , PT, DPT

Physical Therapist

NPI 1053894378

Physical Therapist, Doctor of Physical Therapy

Jeffrey Greene , PA

Physician Assistant

NPI 1063492221

Physician Assistant

Zakkary Perez, , PT

Physical Therapist

NPI 1124500772

Physical Therapist

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location June 11, 2024

Registered at 12500 AURORA DR, PLEASANT PRAIRIE, WI 531581227 (Tel: 2628575000)

📍

Updated Business Mailing Address June 11, 2024

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8009262250)

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 10400 75TH ST, KENOSHA, WI 531427884 (Tel: 2629487380)

📍

Updated Business Mailing Address July 09, 2007

Registered at 3301 W FOREST HOME AVE, MILWAUKEE, WI 532152843 (Tel: 4146476326)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as DAVID NEEDLE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Surgery (License #48221 in WI)

🟢

Initial NPI Registration & Enumeration August 23, 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: 1629185061

Entity Type:

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

Enumeration Date: August 23, 2006

Last Update: June 11, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8009262250

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.