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Active NPI 1528778321 Individual Practitioner Male Practitioner

Thomas D Porter , NP

Nurse Practitioner • Union Grove, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Thomas Porter, NP is a certified Nurse Practitioner practicing in Union Grove, WI. With approximately 4 years of clinical experience since completing medical education in 2022, Thomas Porter delivers high-quality medical care to the local community at 4320 67TH DR.

Thomas Porter maintains professional affiliations with Advantage Physical Therapy And Sports Rehab, Llc, Aurora Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4320 67th Dr

Union Grove, WI 531829338

Telephone 2628781211
Associated Practice Facility / Clinic
🏢 Aurora Medical Group, Inc. Facility NPI 1245440601

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Union Grove, WI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -5.3 yrs vs City Avg
City Avg: 9.3 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Union Grove, WI (4030 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Porter (4 Years) 4 Yrs
Union Grove Specialty Average (9.3 Years) 9.3 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
170 93 $515.00 $100.79
36415 Insertion of needle into vein for collection of blood sample
134 80 $25.00 $8.52
99213 Established patient office or other outpatient visit, typically 15 minutes
81 55 $350.00 $72.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
61 61 $360.00 $98.44
G0008 Administration of influenza virus vaccine
24 23 $65.00 $29.15
90662 Influenza vaccine split virus, preservative free
24 23 $125.00 $76.76
90480 Admn sarscov2 vacc 1 dose
23 22 $90.00 $38.80
91322 Sarscov2 vac 50 mcg/0.5ml im
23 22 $250.00 $146.17

Medical Specialties & State Licenses

CMS Verified: 2025-12-08
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 13227-033

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100221707 (WI)

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

4320 67th Dr, Union Grove, WI 531829338

Phone: 2628781211

Advantage Physical Therapy And Sports Rehab, Llc

7137 236th Ave, Salem, WI 531688975

Phone: 2629255060

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Daniel Haller , MD

Family Medicine

NPI 1437243524

Doctor of Medicine (M.D.)

Dr. Gerald Demers , MD

Family Medicine

NPI 1821103011

Doctor of Medicine (M.D.)

NPI 1922741719

Advanced Practice Nurse Prescriber, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address December 08, 2025

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

NPI Profile Active December 02, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2022

Registered at 4320 67TH DR, UNION GROVE, WI 531829338 (Tel: 2628781211)

📍
Updated Business Mailing Address December 02, 2022

Registered at 3301 W FOREST HOME AVE, MILWAUKEE, WI 532152843 (Tel: 2628781211)

👤
Provider Name / Credentials Updated December 02, 2022

Recorded as THOMAS PORTER, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2022

Nurse Practitioner (License #13227-033 in WI)

🟢
Initial NPI Registration & Enumeration December 02, 2022

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: 1528778321
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 02, 2022
Last Update: December 08, 2025
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.