We index 480 Medicare-enrolled doctors near 54904, WI across 16 specialty categories. Each doctor has a full profile with CMS patient volume, hospital affiliations, and practice location. To keep this page readable we show the 10 closest doctors in each specialty below — click any doctor to see their full profile, or jump between specialties using the nav bar. 377 of the 480 are affiliated with at least one hospital near 54904, WI.
Data Source: Provider identity and specialties from NPPES (2026). Patient volume and procedures from CMS Medicare Provider Utilization & Payment Data (2023). We display publicly reported CMS data — no personal information required to view any of it. Reviewed by:Wes Ward, Founder & Data Lead •
View our methodology
Important: We are not affiliated with Medicare or any government agency. This site displays publicly available CMS data to help you compare doctors and Medicare plans. We do not sell insurance or represent any insurance company. For official enrollment and complete plan information, visit Medicare.gov or call 1-800-MEDICARE.
480
Medicare Doctors
16
Specialties Covered
377
Hospital-Affiliated
Does Your Medicare Plan Cover These Doctors?
Doctor access depends on your Medicare plan's provider network. Compare plans available near 54904, WI to find coverage that includes the specialists you need.
Specialists are grouped into 16 categories — this follows the way Medicare beneficiaries actually search: primary care first, then the specialty that fits their condition. Click any specialty below to jump to its full list of doctors.
30 nearest Urology doctors indexed for 54904, WI · call individual offices to confirm Medicare plan acceptance.
Community Context: 54904, WI
Doctor availability is shaped by the community around it. Areas with higher senior populations tend to have more primary care, cardiology, and geriatric specialists. Rural areas may have fewer specialists but stronger telehealth adoption. Here's the local context near 54904, WI:
4,492
Residents 65+
1905%
On Medicare
D+
Area Safety Grade
52.2347
Households with Fiber
Demographics from the U.S. Census Bureau American Community Survey.
Safety grades from CrimeGrade.org.
Full neighborhood profiles at BestNeighborhood.org.
Address-specific broadband options at ISPReports.org — important for Medicare beneficiaries considering telehealth visits.
Telehealth near 54904, WI: Is Your Internet Ready?
Many Medicare Advantage and some Part D plans now cover telehealth visits, making routine check-ins, specialist consults, and prescription refills easier from home. But telehealth requires reliable internet. Check providers at your specific address below. For official guidance on virtual visits, see Telehealth.HHS.gov from the U.S. Department of Health & Human Services.
Check Internet Providers at Your Address
Telehealth works best with reliable internet. Use this tool (provided free by ISP Reports) to see what's available at your address.
Opens ISP Reports in a new tab. This is not a paid relationship — thanks to ISP Reports for allowing free use of their address tool.
For a full block-level internet report near 54904, WI, see ispreports.org.
Why Doctor Choice Matters for Medicare Beneficiaries
Medicare Advantage (Part C) plans each have their own provider networks. The specialist you want may be in-network for one plan and out-of-network for another. A few things to keep in mind when evaluating doctors near 54904, WI:
Network matters most.Medicare Advantage plans restrict which doctors you can use at in-network rates. Original Medicare + Medigap accepts any Medicare-enrolled provider. Always verify network status before enrolling.
Experience varies. Doctor experience levels range widely. Our pages show Medicare patient volume and procedure counts so you can gauge how frequently a doctor performs specific services.
Telehealth expands access. Many Medicare Advantage and Part D plans now cover telehealth visits — especially valuable for follow-ups, mental health, and specialist consults if mobility is limited. Check whether your address has reliable internet for telehealth →
Hospital affiliations matter for procedures. If you might need a procedure, check which hospitals your specialist is affiliated with — and whether those hospitals are also in your plan's network.
We list 480 Medicare-enrolled doctors near 54904, WI across 16 specialty categories. All are registered with Medicare; whether a specific Medicare Advantage plan covers them depends on that plan's provider network. Compare Medicare plans near 54904, WI →
How do I find out which Medicare plans my doctor accepts?
Three quick steps: (1) open any doctor profile above, (2) call the office to confirm which plans they currently accept for Medicare patients, and (3) compare the Medicare plans available near 54904, WI to pick the right one. You can also call 1-800-MEDICARE for help at any time.
Do doctors near 54904, WI offer telehealth?
Most Medicare-enrolled primary care physicians and many specialists now offer telehealth visits, especially since CMS expanded reimbursement in 2020. Availability varies by practice and by visit type — annual wellness exams and established-patient follow-ups are the most commonly offered virtual visits. Call the office directly to confirm what they offer and whether your plan covers it. Reliable broadband matters for video visits — check internet options near 54904, WI.
What's the difference between Medicare Advantage and Original Medicare for doctor access?
Original Medicare (Parts A + B) lets you see any doctor who accepts Medicare — no network restrictions. Medicare Advantage (Part C) plans restrict you to their provider network for in-network rates. Out-of-network care on Advantage plans typically costs much more, and some HMO-style plans don't cover it at all except in emergencies. Read our complete guide →
Is this data up to date?
Doctor identity, specialty, and address come from the CMS NPPES registry (refreshed monthly). Patient volumes and procedures come from CMS Medicare Provider Utilization & Payment Data (annual, typically 18 months in arrears). Hospital affiliations come from CMS Physician Compare. We refresh all three sources on each data release. Read our methodology →
Wes Ward reviews every doctor directory on this site for data accuracy, source verification, and methodology compliance. All 480 physicians listed near 54904, WI come from publicly available CMS sources and are displayed without requiring any personal information from visitors.
With 25+ years in data analytics — including work with highly regulated genomic data at Ancestry.com — Wes brings enterprise-level rigor to consumer data tools. He is also a co-founder of BestNeighborhood.org, CrimeGrade.org, and ISPReports.org, whose block-level data powers the local context on every page.
InsuranceDataNow is an informational resource based in South Jordan, Utah. We are not affiliated with or endorsed by Medicare, CMS, or any doctor listed.
TPMO Disclaimer: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (24 hours a day/7 days a week) to get information on all of your options.
Medicare Provider Utilization & Payment Data: Patient volumes and procedure counts from data.cms.gov
CMS Physician Compare: Hospital affiliations from data.cms.gov
CrimeGrade.org: Block-level safety data for 54904, WI
BestNeighborhood.org: Community profile for 54904, WI
ISPReports.org: Broadband availability for telehealth readiness
All data is sourced from official government databases and trusted third-party providers. Data is updated regularly — see page header for last refresh dates. Read our methodology → • Privacy policy
Medicare Plans by Health Condition
These condition-specific pages show which Medicare plans score highest by CMS quality measures for each condition in this zip code:
Dual-Eligible Special Needs Plans (D-SNPs) in 54904, WI
If you qualify for both Medicare and Medicaid, a D-SNP combines both into a single plan — often with $0 premiums, $0 copays, and extra benefits like dental, vision, and transportation.
CDC PLACES data for 54904, WI. Higher screening rates and lower disease burden generally indicate better preventive care access — factors that influence plan choice.
