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Active NPI 1316945512 Individual Practitioner Male Practitioner

Dr. Kenneth Joe Garrison , MD

Surgery • Shell Lake, WI

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Garrison, MD is a registered healthcare professional specializing in Surgery in Shell Lake, WI. Practice services are available at 105 4TH AVE under active NPI credentials.

Frequently performed procedures and clinical services include removal of polyps or growths of large bowel using an endoscope with mechanical snare, 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, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

105 4th Ave

Shell Lake, WI 548710189

Telephone 7154682711
Fax 7154682727
Associated Practice Facility / Clinic
🏢 Shell Lake Clinic, Ltd Facility NPI 1083722805

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Shell Lake, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Shell Lake, WI (765 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
86.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare
23 23 $2052.00 $238.75
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
22 22 $52.00 $4.98
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
18 18 $1044.00 $101.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
12 11 $175.00 $102.13

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 45490

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
34380700 (WI)
Commercial Insurance / Payer ID Comprehensive Care Svs
266R9GA (MN)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Margaret Mussfeldt , APNP

Nurse Practitioner - Family

NPI 1376360610

Advanced Practice Nurse Prescriber

NPI 1568500650

Physician Assistant (Certified)

NPI 1841201027

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 July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 105 4TH AVE, SHELL LAKE, WI 548710189 (Tel: 7154682711)

📍
Updated Business Mailing Address July 09, 2007

Registered at PO BOX 189, SHELL LAKE, WI 548710189 (Tel: 7154682711)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as KENNETH GARRISON, M.D.

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

Surgery (License #45490 in WI)

🟢
Initial NPI Registration & Enumeration July 12, 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: 1316945512
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2005
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

Po Box 189

Shell Lake, WI 548710189

Phone: 7154682711

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.