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AIMEE F LEDESMA MD
NPI 1033166970
Family Medicine in Pleasant Prairie, WI

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
79.61/100
CMS Quality Rating
9555 76TH STREET, PLEASANT PRAIRIE, WI 53158(262) 577-8300(262) 577-8414 Get Directions Write a Review

NPPES record last updated: March 13, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Aimee F Ledesma Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AIMEE F LEDESMA MD (NPI 1033166970) is an individual family medicine provider in Pleasant Prairie, Wisconsin, licensed in Wisconsin (48316) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Saint Louis University School Of Medicine (2002).

NPPES Registry Identity

NPI1033166970
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAIMEE F LEDESMACredential: MD
Location Address9555 76TH STREETPleasant Prairie, WI 53158
Mailing Address9555 76th StreetPleasant Prairie, WI 53158 · (262) 577-8300 · Fax (262) 577-8414
Phone(262) 577-8300
Fax(262) 577-8414
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2002
Enumeration DateMay 27, 2006
Last NPPES UpdateMarch 13, 2008
✔ NPI 1033166970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 48316
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9555 76TH STREET, Pleasant Prairie, WI 53158
Open in Google Maps ↗

Other Identifiers 3

OtherP00291656WI · Medicare Rr
Medicare UPINI44866
Medicaid34705400WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Aimee F Ledesma Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446278287
PECOS Enrollment IDI20051109001096
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
324 services143 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
83 services59 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
72 services72 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
45 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services19 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
24 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53158 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.88
Promoting Interoperability100
Improvement Activities40
Cost61.15

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers22 claims64 services$4.75 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers13 claims14 services$0.97 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM J JERANEK MD
Family Medicine
9555 76TH STREET
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 577-8300
MICHAEL A SCHELLPFEFFER MD
Obstetrics & Gynecology
9555 76TH STREET
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 577-8080
IHC-KENOSHA RADIOLOGY, LLC
Radiology (Diagnostic Radiology)
9555 76TH STREET, UHS ST CATHERINES CAMPUS
PLEASANT PRAIRIE, WI 53158
Kenosha County (414) 290-6720
NANDINI SHAH MD
Family Medicine
9555 76TH STREET
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 577-8300
RADE MILOSEVIC MD
Internal Medicine (Nephrology)
9555 76TH STREET
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 577-8300
JANET TAN CHUA MD
Family Medicine
9555 76TH STREET
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 577-8300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aimee Ledesma's NPI number?

The NPI number for Aimee Ledesma is 1033166970. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Aimee Ledesma located?

Aimee Ledesma practices at 9555 76th Street, Pleasant Prairie, WI 53158. The listed phone number is (262) 577-8300.

What is Aimee Ledesma's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Aimee Ledesma enrolled in Medicare?

Yes. Aimee Ledesma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Aimee Ledesma accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and Network Health list Aimee Ledesma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Aimee Ledesma affiliated with any hospitals?

According to CMS data, Aimee Ledesma is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Aimee Ledesma was last updated on March 13, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.