DR. DONALD A HACKBARTH MD
NPI 1801847637
Orthopaedic Surgery in Milwaukee, WI
NPI Status: Active since May 15, 2006
Contact Information
9200 W WISCONSIN AVE
DEPARTMENT OF ORTHOPAEDIC SURGERY
MILWAUKEE, WI
ZIP 53226
Phone: (414) 805-7424
Fax: (414) 805-7499
- Individual
- Male
- Orthopaedic Surgery
- Accepts Insurance
- PECOS Enrolled
About DONALD HACKBARTH
This page provides the complete NPI Profile along with additional information for Donald Hackbarth, a provider established in Milwaukee, Wisconsin with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1801847637 assigned on May 2006. The practitioner's primary taxonomy code is 207X00000X with license number 21703 (WI). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1801847637
- Provider Name
- DR. DONALD A HACKBARTH MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 9200 W WISCONSIN AVE DEPARTMENT OF ORTHOPAEDIC SURGERY MILWAUKEE, WI 53226
- Location Phone
- (414) 805-7424
- Location Fax
- (414) 805-7499
- Mailing Address
- 9200 W WISCONSIN AVE DEPARTMENT OF ORTHOPAEDIC SURGERY MILWAUKEE, WI 53226
- Mailing Phone
- (414) 805-7424
- Mailing Fax
- (414) 805-7499
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-15-2006
- Last Update Date
- 01-07-2013
- 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
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 21703
- License State
- WI
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- 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 Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- HMO Bronze $0 Medical Deductible - HMO
- HMO Bronze 7500 - HMO
- HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
- HMO Gold 1500 - HMO
- HMO Gold 2400 - HMO
- HMO HDHP Bronze 7200 - HMO
- HMO HDHP Silver 5400 - HMO
- HMO Silver 5000 - HMO
- HMO Silver 6600 - HMO
- POS Bronze 7500 - POS
- Chorus Bronze Complete - EPO
- Chorus Bronze HDHP - EPO
- Chorus Catastrophic - EPO
- Chorus Core Bronze - EPO
- Chorus Core Gold - EPO
- Chorus Core Silver - EPO
- Chorus Elite Gold - EPO
- Chorus Gold - EPO
- Chorus Silver - EPO
- Chorus Silver Select - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
- CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
- CGHC Catastrophic $9200 - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
- CGHC Gold $3000 - Envision Network - EPO
- Robin Oak $1,000 Gold - PPO
- Robin Oak $1,500 Standard Gold - PPO
- Robin Select $2,800 Plus Silver - PPO
- Robin Select $3,500 HSA Silver - PPO
- Robin Select $5,000 Standard Silver - PPO
- Robin Select $6,500 Plus Bronze - PPO
- Robin Select $7,500 Standard Bronze - PPO
- Robin Select $8,200 HSA Bronze - PPO
- Robin Select $9,200 Catastrophic - PPO
- Prestige Bronze Essential + 3 Free PCP Visits - HMO
- Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Bronze Plus - HMO
- Prestige Gold - HMO
- Prestige Gold 50 + 1 Free PCP Visit - HMO
- Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit - HMO
- Prestige Gold Essential + 3Free PCP Visits - HMO
- Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Silver - HMO
- Prestige Silver Essential + 3 Free PCP Visits - HMO
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 |
|---|---|---|---|
| 0142 73-601 | MEDICARE PIN (08) | WI | |
| 1801847637 | MEDICAID (05) | WI | |
| 007000215Z | OTHER (01) | HUMANA | |
| B53328 | MEDICARE UPIN (02) | ||
| 68086 1277 | MEDICARE PIN (08) | WI |
Medicare Participation & PECOS Enrollment Status
Donald Hackbarth 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 53226 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.92
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $20.73
- 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 | 8 | 0 | 1 | 8 | 4 | 7 | 6 | 3 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 0 | 1 | 16 | 4 | 14 | 6 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 0 + 1 + 1 + 6 + 4 + 1 + 4 + 6 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1801847637 is valid because the calculated check digit 7 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 |
|---|---|---|---|
| 1306848189 | PAUL WINDISCH PHARM.D. Individual | Pharmacist | 9200 W WISCONSIN AVE MILWAUKEE, WI 53226 (414) 805-2628 |
| 1497743322 | MISS BARBARA SZLENDAKOVA M.S. Individual | Genetic Counselor, MS | 9200 W WISCONSIN AVE MILWAUKEE, WI 53226 (414) 805-9104 |
| 1578540720 | MR. ERIN WILLIAM POOLE CRNA Individual | Nurse Anesthetist, Certified Registered | 9200 W WISCONSIN AVE PATIENT FINANCIAL SERVICES MILWAUKEE, WI 53226 (414) 777-0376 |
| 1417935016 | MS. DEBRA J. POLIAK CRNA Individual | Nurse Anesthetist, Certified Registered | 9200 W WISCONSIN AVE PATIENT FINANCIAL SERVICES MILWAUKEE, WI 53226 (414) 777-0376 |
| 1508844291 | MR. SCOTT A. KUNKEL CRNA Individual | Nurse Anesthetist, Certified Registered | 9200 W WISCONSIN AVE PATIENT FINANCIAL SERVICES MILWAUKEE, WI 53226 (414) 777-0376 |
| 1366412678 | MS. KATHLEEN M. SNEIDER CRNA Individual | Nurse Anesthetist, Certified Registered | 9200 W WISCONSIN AVE PATIENT FINANCIAL SERVICES MILWAUKEE, WI 53226 (414) 777-0376 |
| 1073583381 | MR. EDWIN PATT JR. CRNA Individual | Nurse Anesthetist, Certified Registered | 9200 W WISCONSIN AVE PATIENT FINANCIAL SERVICES MILWAUKEE, WI 53226 (414) 777-0376 |
| 1811968670 | AMY SWANSON M.S., C.G.C. Individual | Genetic Counselor, MS | 9200 W WISCONSIN AVE MILWAUKEE, WI 53226 (414) 805-9018 |
| 1811969843 | DR. KEVIN R. REGNER M.D. Individual | Internal Medicine (Nephrology) | 9200 W WISCONSIN AVE DIVISION OF NEPHROLOGY MILWAUKEE, WI 53226 (414) 456-4755 |
| 1740231802 | DR. JILL C COSTELLO MD Individual | Internal Medicine (Rheumatology) | 9200 W WISCONSIN AVE FROEDTERT & MED COLLEGE CLIN - EAST MILWAUKEE, WI 53226 (414) 805-3666 |
| 1003867169 | DR. DWIGHT P CRUIKSHANK MD Individual | Obstetrics & Gynecology | 9200 W WISCONSIN AVE FROEDTERT & MED COLLEGE CLIN - EAST MILWAUKEE, WI 53226 (414) 805-3666 |
| 1295786341 | MS. SHANNON N COAKLEY PA Individual | Physician Assistant | 9200 W WISCONSIN AVE HOSPITAL BASED @ FROEDTERT HOSP. MILWAUKEE, WI 53226 (414) 805-3666 |
| 1215988290 | DR. KULWINDER S DUA MD Individual | Internal Medicine (Gastroenterology) | 9200 W WISCONSIN AVE FROEDTERT & MED COLLEGE CLIN - WEST MILWAUKEE, WI 53226 (414) 805-3666 |
| 1013968197 | DR. MOHAMMED S DHAMEE MD Individual | Anesthesiology | 9200 W WISCONSIN AVE HOSPITAL BASED @ FROEDTERT HOSP. MILWAUKEE, WI 53226 (414) 805-3666 |
| 1932150778 | MS. KATHRYN R JOHNSON PA-C Individual | Physician Assistant (Medical) | 9200 W WISCONSIN AVE FROEDTERT & MED COLLEGE CLIN - EAST MILWAUKEE, WI 53226 (414) 955-6845 |
| 1033160965 | DR. WILLIAM DENNIS FOLEY MD Individual | Radiology (Diagnostic Radiology) | 9200 W WISCONSIN AVE DEPARTMENT OF RADIOLOGY MILWAUKEE, WI 53226 (414) 805-3700 |
| 1891746756 | DR. THOMAS A GENNARELLI MD Individual | Neurological Surgery | 9200 W WISCONSIN AVE FROEDTERT & MED COLLEGE CLIN - WEST MILWAUKEE, WI 53226 (414) 805-3666 |
| 1376594127 | DR. PETER M LAYDE MD Individual | Family Medicine | 9200 W WISCONSIN AVE FAMILY MEDICINE PRIMARY CARE 4TH FL MILWAUKEE, WI 53226 (414) 805-3666 |
| 1295786044 | DR. ROBERT R LESCHKE MD Individual | Emergency Medicine | 9200 W WISCONSIN AVE HOSPITAL BASED @ FROEDTERT HOSP. MILWAUKEE, WI 53226 (414) 805-3666 |
| 1417908260 | DR. RAYMOND Q MIGRINO MD Individual | Internal Medicine (Cardiovascular Disease) | 9200 W WISCONSIN AVE FROEDTERT & MED COLLEGE CLIN - EAST MILWAUKEE, WI 53226 (414) 805-3666 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801847637, enumerated in the NPI registry as an "individual" on May 15, 2006
The provider is located at 9200 W Wisconsin Ave Department Of Orthopaedic Surgery Milwaukee, Wi 53226 and the phone number is (414) 805-7424
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. 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 $82.92 with an average copayment of $20.73 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.
This NPI record was last updated on May 15, 2006. 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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