Active NPI 1669832887 Individual Practitioner Male Practitioner

Philip M Micksch , NP

Nurse Practitioner • Two Rivers, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Philip Micksch, NP is a certified Nurse Practitioner practicing in Two Rivers, WI. With approximately 11 years of clinical experience since completing medical education in 2015, Philip Micksch delivers high-quality medical care to the local community at 5300 MEMORIAL DR.

Philip Micksch is affiliated with Baycare Aurora Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report, exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5300 Memorial Dr
Suite 303

Two Rivers, WI 542413923

Telephone 9207936550

Fax 9207936551

Associated Practice Facility / Clinic

🏢 Aurora Pharmacy Inc Facility NPI 1558395772

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 Nurse Practitioner in Two Rivers, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs +1.6 yrs vs City Avg

City Avg: 9.4 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

18 Specialists

Practicing in Two Rivers, WI (4030 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Micksch (11 Years) 11 Yrs

Two Rivers Specialty Average (9.4 Years) 9.4 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	625	411	$515.00	$101.33
93000 Routine ekg using at least 12 leads including interpretation and report	197	186	$190.00	$11.30
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	31	31	$185.00	$11.07
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	31	31	$275.00	$16.83
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$350.00	$69.35

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	603	375	$490.00	$103.21
93000 Routine ekg using at least 12 leads including interpretation and report	219	204	$190.00	$11.61
99213 Established patient office or other outpatient visit, typically 15 minutes	54	52	$330.00	$73.08
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	41	38	$195.00	$11.49
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	41	38	$270.00	$17.47

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	651	407	$465.00	$104.60
93000 Routine ekg using at least 12 leads including interpretation and report	212	204	$195.00	$11.58
99213 Established patient office or other outpatient visit, typically 15 minutes	60	57	$313.00	$73.03
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	32	32	$195.00	$12.03
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	32	32	$265.00	$17.94

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	583	364	$435.00	$106.08
93000 Routine ekg using at least 12 leads including interpretation and report	222	203	$228.00	$11.96
99213 Established patient office or other outpatient visit, typically 15 minutes	77	77	$295.00	$74.78
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	34	34	$252.00	$18.22
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	34	34	$205.00	$12.21

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	586	361	$416.00	$88.74
93000 Routine ekg using at least 12 leads including interpretation and report	196	182	$224.00	$13.81
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	37	36	$220.00	$12.59
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	37	36	$243.00	$18.80
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$281.00	$62.20

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	379	283	$393.00	$89.05
93000 Routine ekg using at least 12 leads including interpretation and report	218	200	$215.00	$13.82
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	23	23	$227.00	$12.51
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	23	23	$234.00	$18.67

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	251	186	$374.00	$86.29
93000 Routine ekg using at least 12 leads including interpretation and report	244	222	$209.00	$13.57
99213 Established patient office or other outpatient visit, typically 15 minutes	68	65	$252.00	$57.62
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	27	26	$227.00	$11.85
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	27	26	$227.00	$17.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93000 Routine ekg using at least 12 leads including interpretation and report	208	199	$207.00	$13.73
99213 Established patient office or other outpatient visit, typically 15 minutes	156	125	$240.00	$58.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	37	$356.00	$87.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$173.00	$35.45

Medical Specialties & State Licenses

CMS Verified: 2020-04-23

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 6871-33

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License WI 6871 - 33

Definition to come...

Hospital & Practice Group Affiliations

Baycare Aurora Llc

5300 Memorial Dr, Two Rivers, WI 542413923

Phone: 9207937300

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Thomas Mccann , DO

Emergency Medicine

NPI 1710181912

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2020

Nurse Practitioner (License #6871-33 in WI)

✅

NPI Profile Active March 11, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 11, 2016

Registered at 5300 MEMORIAL DR, SUITE 303, TWO RIVERS, WI 542413923 (Tel: 9207936550)

📍

Updated Business Mailing Address March 11, 2016

Registered at 5300 MEMORIAL DR, SUITE 303, TWO RIVERS, WI 542413923 (Tel: 9207936550)

👤

Provider Name / Credentials Updated March 11, 2016

Recorded as PHILIP MICKSCH, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2016

Nurse Practitioner (License #6871 - 33 in WI)

🟢

Initial NPI Registration & Enumeration March 01, 2016

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: 1669832887

Entity Type:

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

Enumeration Date: March 01, 2016

Last Update: April 23, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5300 Memorial Dr, Suite 303

Two Rivers, WI 542413923

Phone: 9207936550

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.