DR. EDWARD PAUL HAGEN D.O.
NPI 1689671331
Obstetrics & Gynecology in Amery, WI
NPI Status: Active since July 07, 2005
Contact Information
265 GRIFFIN ST E
AMERY, WI
ZIP 54001
Phone: (715) 268-8000
Fax: (715) 268-0311
- Individual
- Male
- Obstetrics & Gynecology
- PECOS Enrolled
- Opted-Out Medicare
About EDWARD HAGEN
This page provides the complete NPI Profile along with additional information for Edward Hagen, a women's health care provider established in Amery, Wisconsin with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1689671331 assigned on July 2005. The practitioner's primary taxonomy code is 207V00000X with license number 54529 (WI). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1689671331
- Provider Name
- DR. EDWARD PAUL HAGEN D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 265 GRIFFIN ST E AMERY, WI 54001
- Location Phone
- (715) 268-8000
- Location Fax
- (715) 268-0311
- Mailing Address
- 265 GRIFFIN ST E AMERY, WI 54001
- Mailing Phone
- (715) 268-8000
- Mailing Fax
- (715) 268-0311
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-07-2005
- Last Update Date
- 06-08-2010
- Code Navigator
Women's health care providers like Edward Hagen treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Edward Hagen opted out of Medicare effective on 09-06-2017 until 09-06-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 54529
- License State
- WI
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 02734 (IA) |
| 2 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 3890 (SD) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 160031587 | MEDICARE ID-TYPE UNSPECIFIED (04) | RAILROAD MEDICARE | |
| E44039 | MEDICARE UPIN (02) | WI |
Medicare Participation & PECOS Enrollment Status
Edward Hagen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 09-06-2017
Opt-Out End Date: 09-06-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 54001 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $123.69
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $30.92
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.37
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $16.84
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 8 | 9 | 6 | 7 | 1 | 3 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 12 | 7 | 2 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 1 + 2 + 7 + 2 + 3 + 6 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1689671331 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1063417947 | DR. MARGIE H PETERSON MD Individual | Family Medicine | 265 GRIFFIN ST E AMERY, WI 54001 (715) 268-8000 |
| 1770588667 | DR. BARRY L. TULKKI MD Individual | Family Medicine | 265 GRIFFIN ST E AMERY, WI 54001 (715) 268-8000 |
| 1679578579 | DR. DEBRA A STRODTHOFF MD Individual | Family Medicine | 265 GRIFFIN ST E AMERY, WI 54001 (715) 268-8000 |
| 1194720813 | DR. CRAIG T JOHNSON MD Individual | Family Medicine | 265 GRIFFIN ST E AMERY, WI 54001 (715) 268-8000 |
| 1770556227 | DR. JAMES P QUENAN MD Individual | Surgery | 265 GRIFFIN ST E AMERY, WI 54001 (715) 268-8000 |
| 1376620351 | ANDERS E ULLAND M.D. Individual | Surgery | 265 GRIFFIN ST E AMERY, WI 54001 (715) 268-8000 |
| 1043494859 | AMERY REGIONAL MEDICAL CENTER, INC. Organization | Home Infusion | 265 GRIFFIN ST E AMERY, WI 54001 (715) 268-0670 |
| 1972742740 | CINDY L O'KEEFE MSW Individual | Social Worker (Clinical) | 265 GRIFFIN ST E AMERY, WI 54001 (715) 268-8000 |
| 1477867745 | AMERY REGIONAL MEDICAL CENTER Organization | Non-Pharmacy Dispensing Site | 265 GRIFFIN ST E AMERY, WI 54001 (715) 268-8000 |
| 1245545540 | JOHNSON DRUG AT ARMC Organization | Non-Pharmacy Dispensing Site | 265 GRIFFIN ST E AMERY, WI 54001 (715) 268-8000 |
| 1083991764 | ST. CROIX ORTHOPAEDICS, P.A. Organization | Durable Medical Equipment & Medical Supplies | 265 GRIFFIN ST E AMERY, WI 54001 (651) 439-8807 |
| 1205105400 | PATRICIA WILLEMAN Individual | Clinical Exercise Physiologist | 265 GRIFFIN ST E AMERY, WI 54001 (715) 268-0290 |
| 1063465771 | LYNNELLE RENEE GABRIEL DPM Individual | Podiatrist (Foot & Ankle Surgery) | 265 GRIFFIN ST E AMERY, WI 54001 (715) 268-0308 |
| 1841296373 | MS. MARY ANN K SCOGLIO ANP Individual | Clinical Nurse Specialist (Adult Health) | 265 GRIFFIN ST E AMERY, WI 54001 (715) 268-8000 |
| 1306841390 | DR. PAUL F. ELBING MD Individual | Emergency Medicine | 265 GRIFFIN ST E AMERY, WI 54001 (715) 268-8000 |
| 1538164520 | DR. DYLAN COE MD Individual | Emergency Medicine | 265 GRIFFIN ST E AMERY, WI 54001 (715) 268-8000 |
| 1104825777 | DR. ANTHONY Q. HALL D.C. Individual | Chiropractor | 265 GRIFFIN ST E AMERY, WI 54001 (715) 268-8000 |
| 1124120431 | KEVIN G KLEIN MD Individual | Family Medicine | 265 GRIFFIN ST E AMERY, WI 54001 (715) 268-8000 |
| 1134127319 | THERESA KOHLRUSCH NP Individual | Nurse Practitioner (Pediatrics) | 265 GRIFFIN ST E AMERY, WI 54001 (715) 268-8000 |
| 1093763518 | AMERY REGIONAL MEDICAL CENTER, INC Organization | General Acute Care Hospital (Critical Access) | 265 GRIFFIN ST E AMERY, WI 54001 (715) 268-8000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689671331, enumerated in the NPI registry as an "individual" on July 07, 2005
The provider is located at 265 Griffin St E Amery, Wi 54001 and the phone number is (715) 268-8000
The provider's speciality is Obstetrics & Gynecology with taxonomy code 207V00000X
The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $123.69 with an average copayment of $30.92 for new patient appointments. Established patients should expect a typical charge of $67.37 and an average copayment of 16.84. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on September 06, 2017 to opt-out of the Medicare program. The provider is excluded from the Medicare program until September 06, 2025.
This NPI record was last updated on July 07, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.