DR. DONNA J HABECK M.D.
NPI 1790999472
Preventive Medicine - Occupational Medicine in Sheboygan, WI
NPI Status: Active since May 10, 2007
Contact Information
1621 N TAYLOR DR
# 300
SHEBOYGAN, WI
ZIP 53081
Phone: (920) 496-4700
- Individual
- Female
- Preventive Medicine
- Occupational Medicine
- Accepts Insurance
- PECOS Enrolled
About DONNA HABECK
This page provides the complete NPI Profile along with additional information for Donna Habeck, a provider established in Sheboygan, Wisconsin with a medical specialization in Preventive Medicine, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1790999472 assigned on May 2007. The practitioner's primary taxonomy code is 2083X0100X with license number 47163-20 (WI). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1790999472
- Provider Name
- DR. DONNA J HABECK M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1621 N TAYLOR DR # 300 SHEBOYGAN, WI 53081
- Location Phone
- (920) 496-4700
- Mailing Address
- 1621 N TAYLOR DR # 300 SHEBOYGAN, WI 53081
- Mailing Phone
- (920) 496-4700
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-10-2007
- Last Update Date
- 12-06-2011
- Code Navigator
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
Preventive Medicine Occupational Medicine
- Taxonomy Code
- 2083X0100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 47163-20
- License State
- WI
- Taxonomy Description
- Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
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 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 47163-020 (WI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Premier $1,500 - 25% - HMO
- Premier $3,500 - 30% - HMO
- Premier $4,100 HDHP - HMO
- Premier $5,000 - 40% - HMO
- Premier $6,200 HDHP - HMO
- Premier $7,500 - HMO
- Premier $9,200 - HMO
- Premier Protection - HMO
- Select $1,500 - 25% - EPO
- Select $3,500 - 30% - EPO
- Select $4,100 HDHP - EPO
- Select $5,000 - 40% - EPO
- Select $6,200 HDHP - EPO
- Select $7,500 - EPO
- Select $9,200 - EPO
- Select Protection - EPO
- Premier HMO $1,500 - 30% - HMO
- Premier HMO $2,500 - 20% Copay - HMO
- Premier HMO $3,300 - 30% HDHP - HMO
- Premier HMO $3,500 - 30% - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Donna Habeck 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
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 53081 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 99214
- Average Established Patient Price $95.41
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $23.85
- 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 | 7 | 9 | 0 | 9 | 9 | 9 | 4 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 18 | 9 | 18 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 8 + 9 + 1 + 8 + 4 + 1 + 4 + 24 = 78 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 78 = 2 | 2 | ||||||||
The NPI number 1790999472 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1699761403 | KATHARINE A DONOHUE FNP-C Individual | Nurse Practitioner (Family) | 1621 N TAYLOR DR SUITE 300 SHEBOYGAN, WI 53081 (920) 496-4700 |
| 1518948967 | MRS. CORINNE JEPSEN-HOBBS APNP Individual | Nurse Practitioner (Family) | 1621 N TAYLOR DR SHEBOYGAN, WI 53081 (920) 458-7433 |
| 1295791002 | MATTHEW ONCOLOGY ASSOCIATES Organization | Internal Medicine (Hematology & Oncology) | 1621 N TAYLOR DR SUITE 100 SHEBOYGAN, WI 53081 (920) 458-7433 |
| 1669529608 | STEVEN MARK BETTAG MD Individual | Internal Medicine (Medical Oncology) | 1621 N TAYLOR DR SHEBOYGAN, WI 53081 (920) 458-7433 |
| 1326220823 | HOSPICE AND PALLIATIVE CARE CONSULTANTS Organization | Internal Medicine (Hospice and Palliative Medicine) | 1621 N TAYLOR DR SHEBOYGAN, WI 53081 (920) 458-7433 |
| 1265604839 | DAWN C. BAARENDSE NP Individual | Nurse Practitioner (Obstetrics & Gynecology) | 1621 N TAYLOR DR SHEBOYGAN, WI 53081 (920) 458-4419 |
| 1083927412 | MARY LOU ROETHEL MSN,NP-C,APNP Individual | Nurse Practitioner (Family) | 1621 N TAYLOR DR SUITE 300 SHEBOYGAN, WI 53081 (920) 496-4700 |
| 1114215886 | LAURA ALSTEEN APNP Individual | Nurse Practitioner | 1621 N TAYLOR DR SUITE 300 SHEBOYGAN, WI 53081 (920) 496-4700 |
| 1487637856 | MR. H MARSHALL MATTHEWS MD Individual | Internal Medicine (Hematology & Oncology) | 1621 N TAYLOR DR SUITE 100 SHEBOYGAN, WI 53081 (920) 458-7433 |
| 1942628623 | STACY MILLER NP-C Individual | Nurse Practitioner (Adult Health) | 1621 N TAYLOR DR SUITE 100 SHEBOYGAN, WI 53081 (920) 459-8300 |
| 1477620201 | JENNIFER A ENGLISH APNP Individual | Nurse Practitioner | 1621 N TAYLOR DR SUITE 300 SHEBOYGAN, WI 53081 (920) 496-4700 |
| 1972804854 | DAVID BEIMBORN PT Individual | Physical Therapist | 1621 N TAYLOR DR SUITE 300 SHEBOYGAN, WI 53081 (920) 496-4700 |
| 1528232576 | MARLA Z WOLFERT M.D. Individual | Internal Medicine (Gastroenterology) | 1621 N TAYLOR DR SHEBOYGAN, WI 53081 (920) 496-4700 |
| 1285789297 | SHEBOYGAN CANCER & BLOOD SPECIALISTS, SC Organization | Internal Medicine (Medical Oncology) | 1621 N TAYLOR DR SHEBOYGAN, WI 53081 (920) 458-7433 |
| 1275660383 | SHEBOYGAN LUNG SPECIALISTS, SC Organization | Internal Medicine (Critical Care Medicine) | 1621 N TAYLOR DR SHEBOYGAN, WI 53081 (920) 458-5864 |
| 1275799413 | ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS Organization | Internal Medicine | 1621 N TAYLOR DR SHEBOYGAN, WI 53081 (920) 458-4419 |
| 1801381900 | NIKITA JAIN MD Individual | Internal Medicine (Hematology & Oncology) | 1621 N TAYLOR DR SHEBOYGAN, WI 53081 (920) 452-1650 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790999472, enumerated in the NPI registry as an "individual" on May 10, 2007
The provider is located at 1621 N Taylor Dr # 300 Sheboygan, Wi 53081 and the phone number is (920) 496-4700
The provider's speciality is Preventive Medicine with taxonomy code 2083X0100X with a focus in Occupational Medicine
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Molina. 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 $95.41 and an average copayment of 23.85. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on May 10, 2007. 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].
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