Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174919807 Individual Practitioner Male Practitioner

Dr. Benjamin P Hermanson , DO

Emergency Medicine • Summit, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Hermanson, DO is a certified Emergency Medicine practicing in Summit, WI. With approximately 11 years of clinical experience since completing medical education in 2015, Dr. Hermanson delivers high-quality medical care to the local community at 36500 AURORA DR.

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

Frequently performed procedures and clinical services include routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

36500 Aurora Dr

Summit, WI 530664899

Telephone 2624341000
Fax 2624345050
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Summit, WI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -11.0 yrs vs City Avg
City Avg: 22.0 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
12 Specialists

Practicing in Summit, WI (1497 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
89.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hermanson (11 Years) 11 Yrs
Summit Specialty Average (22.0 Years) 22.0 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
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
224 197 $105.00 $7.40
99285 Emergency department visit for life threatening or functioning severity
103 102 $1130.00 $159.90
99284 Emergency department visit with moderate level of medical decision making
103 100 $780.00 $107.09
99283 Emergency department visit with low level of medical decision making
50 50 $575.00 $64.42
99291 Critical care, first 30-74 minutes
45 43 $2590.00 $186.49

Medical Specialties & State Licenses

CMS Verified: 2024-07-31
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License WI 66729

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100063785 (WI)

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

W3985 County Rd Nn, Elkhorn, WI 531214337

Phone: 2627412000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Bijan Nezami

Internal Medicine - Critical Care Medicine

NPI 1003201625
Kody Lewis , PA-C

Physician Assistant

NPI 1013144393

Physician Assistant (Certified)

Dr. Vijay Johnson , MD

Internal Medicine - Critical Care Medicine

NPI 1023298072

Doctor of Medicine (M.D.)

Kelly Campbell , ANP-BC

Nurse Practitioner

NPI 1023395118

ANPBC

Dr. Brett Mclachlan , MD

Emergency Medicine

NPI 1023452661

Doctor of Medicine (M.D.)

Lea Van Heule , CAA

Anesthesiologist Assistant

NPI 1023658549

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location July 31, 2024

Registered at 36500 AURORA DR, SUMMIT, WI 530664899 (Tel: 2624341000)

📍
Updated Business Mailing Address July 31, 2024

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

📍
Updated Practice Location October 01, 2019

Registered at W3985 COUNTY ROAD NN, ELKHORN, WI 531214337 (Tel: 2627412000)

📍
Updated Business Mailing Address October 01, 2019

Registered at W3985 COUNTY ROAD NN, ELKHORN, WI 531214337 (Tel: 2627412000)

📍
Updated Practice Location August 08, 2018

Registered at 100 COUNTY ROAD B, SHAWANO, WI 54166 (Tel: 7155262111)

📍
Updated Business Mailing Address August 08, 2018

Registered at 122 E COLLEGE AVE, APPLETON, WI 549115794 (Tel: 9209963264)

👤
Provider Name / Credentials Updated August 08, 2018

Recorded as BENJAMIN HERMANSON, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2018

Emergency Medicine (License #66729 in WI)

NPI Profile Active April 09, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 09, 2015

Registered at 9200 W WISCONSIN AVE, MILWAUKEE, WI 532263522 (Tel: 4148056450)

📍
Updated Business Mailing Address April 09, 2015

Registered at 9200 W WISCONSIN AVE, MILWAUKEE, WI 532263522

👤
Provider Name / Credentials Updated April 09, 2015

Recorded as BENJAMIN HERMANSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 09, 2015

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: 1174919807
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2015
Last Update: July 31, 2024
Sole Proprietor: No

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.