Active NPI 1376868281 Individual Practitioner Male Practitioner

Dr. Daniel C Medina , MD

Surgery • Wausau, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Medina, MD is a certified Surgery practicing in Wausau, WI. With approximately 20 years of clinical experience since completing medical education in 2006, Dr. Medina delivers high-quality medical care to the local community at SURGICAL ASSOCIATES, SC.

Dr. Medina maintains professional affiliations with Guam X-Ray, Guam Healthcare Development Incorporated, Guam Memorial Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

Surgical Associates, Sc
2400 Pine Ridge Blvd

Wausau, WI 54401

Telephone 7158472022

Fax 7158431220

Associated Practice Facility / Clinic

🏢 Surgical Associates, S.c. Facility NPI 1710910476

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Wausau, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +0.1 yrs vs City Avg

City Avg: 19.9 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

20 Specialists

Practicing in Wausau, WI (765 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Medina (20 Years) 20 Yrs

Wausau Specialty Average (19.9 Years) 19.9 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
99213 Established patient office or other outpatient visit, typically 15 minutes	75	62	$80.76	$77.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$105.04	$101.05
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	23	23	$263.54	$179.25
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$453.05	$98.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	13	$177.98	$117.84
45380 Biopsy of large bowel using an endoscope	12	12	$333.73	$195.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	90	73	$72.23	$71.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$96.93	$88.85
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	30	30	$121.21	$119.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$174.97	$172.66
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	21	21	$15.52	$15.21
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	18	$140.90	$124.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$135.19	$133.59
45380 Biopsy of large bowel using an endoscope	15	15	$481.28	$473.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	74	59	$70.67	$69.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	46	$89.69	$72.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$98.98	$89.85
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$143.96	$107.02
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$206.43	$189.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	89	72	$70.75	$70.53
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	38	37	$107.32	$106.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	38	$116.77	$72.72
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	33	33	$145.52	$114.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$104.14	$93.14
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$194.10	$193.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	71	69	$113.83	$108.77
99213 Established patient office or other outpatient visit, typically 15 minutes	67	51	$67.40	$64.07
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	23	$362.32	$128.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$104.19	$103.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	91	73	$54.60	$51.60
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	80	76	$109.04	$103.42
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	25	$148.64	$122.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$78.69	$75.39
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$225.12	$185.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	92	56	$80.45	$72.52
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	82	74	$108.54	$100.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$122.96	$105.35
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	15	14	$255.76	$95.33
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	14	$415.21	$118.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	126	85	$78.61	$76.29
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	57	52	$118.96	$103.52
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	34	30	$379.14	$103.34
99234 Hospital observation or inpatient care low severity, 40 minutes per day	32	31	$140.02	$134.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$114.45	$110.91
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	20	20	$395.65	$120.93
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$347.86	$184.63

Medical Specialties & State Licenses

CMS Verified: 2022-09-23

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 1924-320

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 GU M-1942

Surgery

NUCC Taxonomy Code: 208600000X

State License PA MD456117

Hospital & Practice Group Affiliations

Guam Memorial Hospital

850 Gov Carlos G Camacho Rd, Tamuning, GU 969133128

Phone: 6716472552

Guam Healthcare Development Incorporated

133 Route 3, Dededo, GU 969296911

Phone: 6716455500

Hafa Specialist Group Llp

280 Pale San Vitores Rd, Tamuning, GU 969133615

Phone: 6716474542

Guam X-Ray

633 Gov Carlos Camacho Rd, Tamuning, GU 96913

Phone: 6716491001

Practice Associates & Co-Workers

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

40 Associated Practitioners

Kathy Obermann , ANP-BC APNP

Nurse Practitioner

NPI 1003100033

ANPBCAPNP

Dr. Corrine Miller , MD

Surgery

NPI 1013216530

Doctor of Medicine (M.D.)

Dr. Gary Sweet , MD

Surgery

NPI 1023229382

Doctor of Medicine (M.D.)

Dr. Charles Alden , MD

Surgery

NPI 1043212947

Doctor of Medicine (M.D.)

Tiffany Miller , APRN

Nurse Practitioner

NPI 1053966382

Advanced Practice Registered Nurse

Dr. Paul Chestovich , MD

Surgery

NPI 1073762589

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location September 23, 2022

Registered at SURGICAL ASSOCIATES, SC, 2400 PINE RIDGE BLVD, WAUSAU, WI 54401 (Tel: 7158472022)

📍

Updated Business Mailing Address September 23, 2022

Registered at 2400 PINE RIDGE BLVD, WAUSAU, WI 54401 (Tel: 7158472022)

👤

Provider Name / Credentials Updated September 23, 2022

Recorded as DANIEL MEDINA, MD

✅

NPI Profile Active September 13, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 13, 2016

Registered at 280 PALE SAN VITORES RD, TAMUNING, GU 969133615 (Tel: 6716474542)

📍

Updated Business Mailing Address September 13, 2016

Registered at 280 PALE SAN VITORES RD, TAMUNING, GU 969133615 (Tel: 6716474542)

👤

Provider Name / Credentials Updated September 13, 2016

Recorded as DANIEL MEDINA, M.D., PH.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2016

Surgery (License #M-1942 in GU)

🟢

Initial NPI Registration & Enumeration April 02, 2010

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: 1376868281

Entity Type:

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

Enumeration Date: April 02, 2010

Last Update: September 23, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2400 Pine Ridge Blvd

Wausau, WI 54401

Phone: 7158472022

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.