Edgar Betancourt, M.D.
Anatomic Pathology & Clinical Pathology Physician · Wausau, WI
Edgar Betancourt, M.D. is an anatomic pathology & clinical pathology physician with a practice address in Wausau, Wisconsin, and NPI 1174593875, issued on Jan 25, 2006. Check the license (Wisconsin 43096, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Edgar Betancourt
- Credential
- M.D.
- Primary taxonomy
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License number
- 43096 WI
Self-reported in NPPES; status is on the state search - Practice location
- 333 Pine Ridge Blvd, Wausau, WI 54401
- Phone
- (715) 847-2130
- Enumerated
- Jan 25, 2006
- Record last updated
- Oct 18, 2023
- Medicaid ID
- 34061700 WI
- Entity
- Type 1 · individual
8 nearest anatomic pathology & clinical pathology physician records → All 335 in Wisconsin → Look up another NPI →
Also registered at 333 Pine Ridge Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Edgar Betancourt in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining Board
Search for license 43096Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Edgar Betancourt among 335 anatomic pathology & clinical pathology physician records in Wisconsin
Edgar Betancourt, M.D. is one of 335 anatomic pathology & clinical pathology physician records with a practice address in Wisconsin. 58% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 5% of them.
- NPI issued2006 · 5% of these records are older, 47% newer
- In a Medicare fileYes · 58% of these records are
- In the CMS Doctors and Clinicians fileNo · 50% of these records are
- Record last updated2023 · 57% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207ZP0102X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Anatomic Pathology & Clinical Pathology Physician providers in Wisconsin
There are 335 anatomic pathology & clinical pathology physician records in Wisconsin.
All 335 in Wisconsin → Every provider in Wausau → Anatomic Pathology & Clinical Pathology Physician nationwide →
The 8 anatomic pathology & clinical pathology physician records with the nearest ZIP codes
- Nathan Charles, M.D./PH.D.Wausau, WI 544011881953669
- Tracy Cousins, M.D.Wausau, WI 544011679543383
- David Durnick, M.D.Wausau, WI 544011629087960
- Jason Heese, MDWausau, WI 544011093860132
- Scott Kantola, M.D.Wausau, WI 544011326211384
- Sarah SewallWausau, WI 544011447215736
- Fushen Xu, M.D.Wausau, WI 544011376513036
- Tajinder Bisla, MDMarshfield, WI 544491215905633
Common questions
What is Edgar Betancourt, M.D.'s NPI number?
Edgar Betancourt, M.D.'s National Provider Identifier (NPI) is 1174593875, issued on Jan 25, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Edgar Betancourt, M.D. located?
The NPPES record lists a practice address at 333 Pine Ridge Blvd, Wausau, WI, 54401. Phone: (715) 847-2130. Providers update this record themselves, so call before visiting.
How can I verify Edgar Betancourt, M.D.'s license?
NPPES lists Wisconsin license number 43096, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Edgar Betancourt, M.D.'s MIPS final score?
The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.