Doctor profile · Federal record

Dr. KEITH ANCLAM, D.O.

Internal Medicine Physician · Family Medicine Physician · STURGEON BAY, WI

  • NPI 1487662037
  • 20 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
323 S 18TH AVE
STURGEON BAY, WI 542351401
(920) 746-0510
Additional location
10 Tower Dr
Sun Prairie, WI 535901239
(608) 825-3500
fax (608) 825-3676

Credentials & registration

NPPES · NUCC
NPI registered
August 2006 — 20 yrs on file
Profile last updated
April 28, 2023
Specialty taxonomy
207R00000X — NUCC code
State license (1)
Wisconsin #27906
Medicaid
WI #30027400

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1487662037. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
370
Distinct HCPCS
9
Medicare allowed
$24,701
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 79 67 $87
36415 Insertion of needle into vein for collection of blood sample 76 67 $8
99214 Established patient office or other outpatient visit, 30-39 minutes 67 57 $123
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 57 53 $8
99203 New patient office or other outpatient visit, 30-44 minutes 30 30 $106
99204 New patient office or other outpatient visit, 45-59 minutes 24 24 $159
81001 Manual urinalysis test with examination using microscope, automated 14 13 $3
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 12 12 $14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 11 11 $125

In context: peer comparison

Among 2 peers in this city , average services per provider: 40. This provider delivers 9.3× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
215
Patients
89
Total drug cost
$2,832
Drug Type Claims Patients Total cost
Prednisone Generic 69 57 $231
Omeprazole Generic 27 0 $351
Atorvastatin Calcium Generic 18 0 $265
Doxycycline Hyclate Generic 18 17 $224
Olanzapine Generic 16 0 $390
Gabapentin Generic 15 0 $213
Metoprolol Succinate Generic 15 0 $340
Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) Brand 15 15 $214
Azithromycin Generic 11 0 $64
Rosuvastatin Calcium Generic 11 0 $539