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SIMONIDA KOKANOVIC M.D.
NPI 1063709749
Family Medicine in Union Grove, WI

Active since July 01, 2011PECOS EnrolledAccepts Medicare Assignment
21425 SPRING ST, UNION GROVE, WI 53182(262) 878-2411(262) 878-2922 Get Directions Write a Review

NPPES record last updated: June 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Simonida Kokanovic M.d. NPPES

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

SIMONIDA KOKANOVIC M.D. (NPI 1063709749) is an individual family medicine provider in Union Grove, Wisconsin, licensed in Wisconsin (50383020) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Other (1995).

NPPES Registry Identity

NPI1063709749
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSIMONIDA KOKANOVICCredential: M.D.
Location Address21425 SPRING STUnion Grove, WI 53182-9707
Mailing Address21425 Spring StUnion Grove, WI 53182-9707 · (262) 878-2411 · Fax (262) 878-2922
Phone(262) 878-2411
Fax(262) 878-2922
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 1, 2011
Last NPPES UpdateJune 11, 2014
✔ NPI 1063709749 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 · 50383020
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.
21425 SPRING ST, Union Grove, WI 53182
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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

Simonida Kokanovic M.d. 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 ID4385822790
PECOS Enrollment IDI20110706000338
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 2

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
179 services43 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53182 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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers115 claims3,402 services$5.97 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers69 claims30,246 services$0.38 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
2 suppliers35 claims16,830 services$1.17 avg. paid by Medicare
Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
2 suppliers18 claims18 services$62.25 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier18 claims18 services$13.11 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier28 claims28 services$14.13 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 18

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

KARRYLYN K KAIS
Speech-Language Pathologist
21425 SPRING ST
UNION GROVE, WI 53182
Racine County (262) 878-2411
DR. ANNE M SCHLIMGEN MD
Internal Medicine
21425 SPRING ST, UNION GROVE VA CLINIC
UNION GROVE, WI 53182
Racine County (414) 878-7001
JOSHUA D PHILLIPS M.D.
Psychiatry & Neurology (Psychiatry)
21425 SPRING ST
UNION GROVE, WI 53182
Racine County (262) 878-2411
STATE OF WISCONSIN
Intermediate Care Facility, Intellectual Disabilities
21425 SPRING ST
UNION GROVE, WI 53182
Racine County (262) 878-2411
IWONA M. PAKULA-HALLER M.D.
Psychiatry & Neurology (Psychiatry)
21425 SPRING ST, PRIMARY CARE UNION GROVE
UNION GROVE, WI 53182
Racine County (262) 878-7001
LORELEI L VOLSTAD NP
Nurse Practitioner
21425 SPRING ST
UNION GROVE, WI 53182
Racine County (262) 878-6746
LANA R. BUTTKE NP
Nurse Practitioner
21425 SPRING ST
UNION GROVE, WI 53182
Racine County (262) 878-7001
MILWAUKEE VAMC
Clinic/Center (VA)
21425 SPRING ST
UNION GROVE, WI 53182
Racine County (608) 821-7200

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 Simonida Kokanovic's NPI number?

The NPI number for Simonida Kokanovic is 1063709749. It was assigned to this individual provider in the NPPES registry on July 1, 2011.

Where is Simonida Kokanovic located?

Simonida Kokanovic practices at 21425 Spring St, Union Grove, WI 53182. The listed phone number is (262) 878-2411.

What is Simonida Kokanovic's specialty?

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

Is Simonida Kokanovic enrolled in Medicare?

Yes. Simonida Kokanovic 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.

Is Simonida Kokanovic affiliated with any hospitals?

According to CMS data, Simonida Kokanovic is affiliated with Froedtert South Inc. and Ascension All Saints Hospital.

When was this NPI record last updated?

The NPPES record for Simonida Kokanovic was last updated on June 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.