Doctor profile · Federal record
Dr. Ty Thornock, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Shawano, WI
- NPI 1720098197
- Accepts Medicare
- 28 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
100 County Road B
Shawano, WI 541667072
(715) 524-2161 - Additional location
-
1405 Mill St
New London, WI 549612155
(920) 531-2000
fax (920) 531-2098 - Mailing address
-
122 E College Ave
Appleton, WI 549115794
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- March 17, 2018
- Year of graduation
- 1998 — 28 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- Wisconsin #2685-033
- Medicaid
- WI #43382500
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1720098197. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
26
Distinct HCPCS
2
Medicare allowed
$2,974
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 13 | 13 | $131 | |
00812 |
Anesthesia for exam of colon using an endoscope | 13 | 13 | $98 |
In context: peer comparison
Among 2 peers in Shawano Certified Registered Nurse Anesthetist, average services per provider: 15. This provider delivers 1.7× the peer median.Frequently asked questions
What is Dr. Ty Thornock's medical specialty?
Dr. Ty Thornock practices Certified Registered Nurse Anesthetist in Shawano, WI.
Where does Dr. Ty Thornock practice?
Dr. Ty Thornock practices at 100 County Road B, Shawano, WI 541667072. Office phone: 7155242161.
What is Dr. Ty Thornock's NPI?
Dr. Ty Thornock's National Provider Identifier (NPI) is 1720098197, issued by NPPES.
Does Dr. Ty Thornock accept Medicare assignment?
Yes. Dr. Ty Thornock accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ty Thornock commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731); Anesthesia for exam of colon using an endoscope (HCPCS 00812). Source: CMS Medicare Physician & Other Practitioners file.