Philip Detrana, M.D.
NPI 1013992643 · Pulmonary Disease Physician · Sheboygan, WI
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Philip Detrana, M.D. is a Pulmonary Disease Physician provider in Sheboygan, WI (NPI 1013992643).
Provider details
- NPI number
- 1013992643
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 36416 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
789 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Test to Measure Expiratory Airflow and Volume94010 | 155 | $22 |
| Sleep Study in Sleep Lab With Continuous Airway Pressure (6 Years Or Older)95811 | 114 | $112 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 108 | $120 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 80 | $165 |
| Sleep Study in Sleep Lab (6 Years Or Older)95810 | 77 | $106 |
| Test to Examine How Well the Lungs Exchange Gases94729 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 16 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 184 | 31 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 132 | 52 |
| Montelukast Sodium | 117 | 29 |
| Fluticasone Propionate | 101 | 35 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 49 | 11 |
| Fluticasone Propion/Salmeterolbrand: Fluticasone-Salmeterol | 41 | 14 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-06
- Last updated
- 2021-11-30
- Certified
- 2021-11-30
Frequently asked questions
- What is Philip Detrana's NPI number?
- Philip Detrana's National Provider Identifier (NPI) is 1013992643, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Philip Detrana's specialty?
- Philip Detrana is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Philip Detrana located?
- Philip Detrana's practice location on file with NPPES is 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129.
- What is Philip Detrana's phone number?
- The practice phone number listed in the NPPES registry for Philip Detrana is (920) 457-4461.
- Does Philip Detrana accept Medicare?
- Philip Detrana is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Philip Detrana's NPI active?
- Yes — Philip Detrana's NPI (1013992643) is active in the NPPES registry as of the last update on 2021-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.