Active NPI 1902031909 Individual Practitioner Male Practitioner

Dr. Nicholas John Draeger , DO

Surgery • Sheboygan, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Draeger, DO is a certified Surgery practicing in Sheboygan, WI. With approximately 17 years of clinical experience since completing medical education in 2009, Dr. Draeger delivers high-quality medical care to the local community at 3400 UNION AVE.

Dr. Draeger is affiliated with Aurora Medical Group, Inc. and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

3400 Union Ave

Sheboygan, WI 530818426

Telephone 9208282700

Associated Practice Facility / Clinic

🏢 Aurora Health Care Central, Inc. Facility NPI 1922053107

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Sheboygan, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -1.2 yrs vs City Avg

City Avg: 18.2 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

10 Specialists

Practicing in Sheboygan, WI (765 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

93.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Draeger (17 Years) 17 Yrs

Sheboygan Specialty Average (18.2 Years) 18.2 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	25	$390.00	$71.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	36	$915.00	$154.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$510.00	$101.02
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	26	26	$4490.00	$202.65
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$350.00	$85.18
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$2780.00	$63.37
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$3060.00	$166.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$485.00	$106.47
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	30	30	$4350.00	$207.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	11	$370.00	$75.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$875.00	$165.87
99213 Established patient office or other outpatient visit, typically 15 minutes	21	18	$330.00	$86.52
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$2930.00	$164.96
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$2650.00	$49.05

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	35	21	$355.00	$67.96
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	34	34	$4180.00	$214.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$460.00	$107.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$835.00	$188.61
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$313.00	$87.67
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$2820.00	$174.39
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$2540.00	$64.74
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$2820.00	$173.47

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	19	$330.00	$69.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$430.00	$108.57
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	29	29	$3980.00	$219.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	24	$790.00	$192.74
99213 Established patient office or other outpatient visit, typically 15 minutes	21	17	$295.00	$88.58
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$3980.00	$233.76
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$2410.00	$75.98

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	52	21	$315.00	$66.83
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	40	40	$3770.00	$200.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	36	$750.00	$192.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$407.00	$100.84
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	22	$2260.00	$80.23
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$3770.00	$189.83
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$281.00	$66.81
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	14	14	$12900.00	$266.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$433.00	$90.90

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	51	27	$307.00	$70.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$389.00	$104.21
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	32	$2140.00	$72.14
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	26	26	$3460.00	$153.06
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	23	$3590.00	$210.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$399.53	$105.55
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$265.00	$71.97
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	15	$2140.00	$93.33
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$3590.00	$198.51
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	13	13	$3460.00	$97.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	12	$721.00	$196.17
43249 Balloon dilation of esophagus using an endoscope	12	12	$4280.00	$144.61
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	$256.00	$5.22

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	62	61	$377.81	$102.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	39	$292.00	$68.58
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	42	40	$2020.00	$74.92
99221 Initial hospital inpatient care per day, typically 30 minutes	41	39	$402.51	$93.79
99213 Established patient office or other outpatient visit, typically 15 minutes	29	27	$252.00	$69.88
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	27	27	$3462.96	$205.12
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	21	21	$241.00	$5.17
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	18	18	$3280.00	$110.79
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$2020.00	$50.16
43249 Balloon dilation of esophagus using an endoscope	13	13	$4030.00	$115.80
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	$241.00	$5.19
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$3400.00	$214.98
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	11	11	$3280.00	$122.52

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	55	55	$358.05	$101.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	22	$278.00	$69.44
99221 Initial hospital inpatient care per day, typically 30 minutes	30	30	$380.00	$96.53
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	22	$1898.00	$68.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	16	$173.00	$41.59
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	20	19	$225.00	$5.22
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$240.00	$70.05
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	19	18	$3222.00	$192.05

Medical Specialties & State Licenses

CMS Verified: 2023-10-17

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 62536

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License MI 5101018109

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100038807 (WI)

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

3400 Union Ave, Sheboygan, WI 530818426

Phone: 9208282530

Aurora Medical Group, Inc.

1020 N 12th St, Milwaukee, WI 532331308

Phone: 4142193056

Aurora Medical Group, Inc.

2629 N 7th St, Sheboygan, WI 530834932

Phone: 9204515000

Secondary Practice Locations

2414 Kohler Memorial Dr

Sheboygan, WI 530813129

Phone: 9204574461

Practice Associates & Co-Workers

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

9 Associated Practitioners

Pamela Higgins , NP

Nurse Practitioner

NPI 1053502625

Nurse Practitioner

Dr. George Kuttickat , MD

Internal Medicine - Cardiovascular Disease

NPI 1447367982

Doctor of Medicine (M.D.)

Nicole Mentink , OTR, L

Occupational Therapist

NPI 1770236457

Occupational Therapist Registered, L

Dr. Steven Kream , MD

Internal Medicine - Pulmonary Disease

NPI 1780751974

Doctor of Medicine (M.D.)

Dr. Nebiyu Biru , MD

Internal Medicine - Pulmonary Disease

NPI 1780983320

Doctor of Medicine (M.D.)

Dr. William Ritt , DO

Surgery

NPI 1811283526

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location October 17, 2023

Registered at 3400 UNION AVE, SHEBOYGAN, WI 530818426 (Tel: 9208282700)

📍

Updated Business Mailing Address October 17, 2023

Registered at PO BOX 735044, CHICAGO, IL 606735044

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2023

Surgery (License #62536 in WI)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2021

Surgery (License #5101018109 in MI)

✅

NPI Profile Active February 05, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 05, 2015

Registered at 2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 530813129 (Tel: 9204574461)

📍

Updated Business Mailing Address February 05, 2015

Registered at 2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 530813129 (Tel: 9204574461)

👤

Provider Name / Credentials Updated February 05, 2015

Recorded as NICHOLAS DRAEGER, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2015

Surgery (License #62536 in WI)

🟢

Initial NPI Registration & Enumeration May 19, 2009

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: 1902031909

Entity Type:

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

Enumeration Date: May 19, 2009

Last Update: October 17, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 735044

Chicago, IL 606735044

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.