Dr James David Kuplic, MD - Medicare Orthopedic Surgery in Appleton, WI

Dr James David Kuplic, MD is a medicare enrolled "Orthopaedic Surgery" physician in Appleton, Wisconsin. He went to Washington University School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Oca, Sc and his current practice location is 2105 E Enterprise Ave, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 731-6611.

Dr James David Kuplic is licensed to practice in Wisconsin (license number 37759) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871546507.

Contact Information

Dr James David Kuplic, MD
2105 E Enterprise Ave,
Appleton, WI 54913-7862
(920) 731-6611
(920) 731-6732

Map and Direction




Physician's Profile

Full NameDr James David Kuplic
GenderMale
SpecialityOrthopedic Surgery
Experience33 Years
Location2105 E Enterprise Ave, Appleton, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr James David Kuplic attended and graduated from Washington University School Of Medicine in 1991
  NPI Data:
  • NPI Number: 1871546507
  • Provider Enumeration Date: 05/17/2006
  • Last Update Date: 03/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2163412479
  • Enrollment ID: I20050901000305

Medical Identifiers

Medical identifiers for Dr James David Kuplic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871546507NPI-NPPES
32242000MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 37759 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thedacare Regional Medical Center - Appleton IncAppleton, WIHospital
Thedacare Medical Center - ShawanoShawano, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oca, Sc862808933119

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr James David Kuplic allows following entities to bill medicare on his behalf.
Entity NameOca, Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003836867
PECOS PAC ID: 8628089331
Enrollment ID: O20060509000877

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr James David Kuplic is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr James David Kuplic, MD
2105 E Enterprise Ave, Ste 111,
Appleton, WI 54913

Ph: (920) 731-6611
Dr James David Kuplic, MD
2105 E Enterprise Ave,
Appleton, WI 54913-7862

Ph: (920) 731-6611

Reviews and Comments


Orthopaedic Surgery Doctors in Appleton, WI

Thomas G Hoeft, D.O.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1531 S Madison St, Appleton, WI 54915
Phone: 920-996-3700    Fax: 920-996-3739
Karen Fields, PA
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2105 E. Enterprise Dr, Appleton, WI 54913
Phone: 920-731-3111    Fax: 920-738-8789
Eric W Erickson, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 820 E Grant St, Appleton, WI 54911
Phone: 920-831-5050    
Dr. Etienne A. Mejia, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 277 Altenhofen Dr, Appleton, WI 54913
Phone: 920-993-1643    Fax: 920-993-1645
Dr. David Albert Liebelt, M.D., PH.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 820 E Grant St, Appleton, WI 54911
Phone: 920-831-5050    
Scott Preston Olvey, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2323 N Casaloma Dr, Appleton, WI 54913
Phone: 920-730-8833    Fax: 920-831-2968
Nickolas Linkous, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 820 E Grant St, Appleton, WI 54911
Phone: 920-831-5050    Fax: 920-725-6535

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.