BENNY KUSUMA MD
NPI 1073734133
Internal Medicine in La Crosse, WI

Q: What is Benny Kusuma's NPI number?

The NPI number for Benny Kusuma is 1073734133. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Q: What is Benny Kusuma's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Benny Kusuma was last updated on February 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 02, 2007PECOS EnrolledAccepts Medicare Assignment

1836 SOUTH AVE, LA CROSSE, WI 54601(608) 782-7300 Get Directions Write a Review

NPPES record last updated: February 8, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Benny Kusuma Md NPPES

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

BENNY KUSUMA MD (NPI 1073734133) is an individual internal medicine provider in La Crosse, Wisconsin, licensed in Wisconsin (52325) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Gundersen Lutheran Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1073734133

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameBENNY KUSUMACredential: MD

Location Address1836 SOUTH AVELa Crosse, WI 54601-5429

Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300

Phone(608) 782-7300

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateMay 2, 2007

Last NPPES UpdateFebruary 8, 2016

✔ NPI 1073734133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in WI · 52325✔ Licensed in KS · 6295

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1836 SOUTH AVE, La Crosse, WI 54601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Benny Kusuma 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 ID5698825883

PECOS Enrollment IDI20090610000023

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 3

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.

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.

75 services74 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

31 services30 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

25 services25 patients

Hospital Affiliations CMS Care Compare 5

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

Gundersen Lutheran Medical Center

Acute Care Hospitals · La Crosse, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520087

Location1910 South AveLa Crosse, WI 54601 · La Crosse County

Emergency services Birthing friendly

Gundersen St Josephs Hospital And Clinics

Critical Access Hospitals · Hillsboro, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521304

Location400 Water AveHillsboro, WI 54634 · Vernon County

Emergency services

Gundersen Tri-County Hospital & Clinics

Critical Access Hospitals · Whitehall, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521316

Location18601 Lincoln StWhitehall, WI 54773 · Trempealeau County

Emergency services

Gundersen Boscobel Area Hospital And Clinics

Critical Access Hospitals · Boscobel, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521344

Location205 Parker StBoscobel, WI 53805 · Grant County

Emergency services

Vernon Memorial Hospital

Critical Access Hospitals · Viroqua, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521348

Location507 South Main StViroqua, WI 54665 · Vernon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54601 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

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.

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Other Providers at the Same Location NPPES 20

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

JEFFREY BRIAN TROHKIMOINEN M.D.

Anesthesiology

1836 SOUTH AVE, GUNDERSEN CLINIC, LTD.
LA CROSSE, WI 54601

La Crosse County (608) 775-2031

JESSICA E THESING CRNA

Nurse Anesthetist, Certified Registered