DR. ANDREW THOMAS KONICEK D.O.
NPI 1073824207
Emergency Medicine in Racine, WI

Active since June 22, 2010PECOS EnrolledAccepts Medicare Assignment
91.74/100
CMS Quality Rating
3801 SPRING STREET, RACINE, WI 53403(262) 687-4011 Get Directions Write a Review

NPPES record last updated: July 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Andrew Thomas Konicek D.o. NPPES

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

DR. ANDREW THOMAS KONICEK D.O. (NPI 1073824207) is an individual emergency medicine provider in Racine, Wisconsin, licensed in Wisconsin (64321-21) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2010).

NPPES Registry Identity

NPI1073824207
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ANDREW THOMAS KONICEKCredential: D.O.
Location Address3801 SPRING STREETRacine, WI 53403-1010
Mailing Address9874 W Prairie Grass WayFranklin, WI 53132-7201 · (847) 404-7853
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2010
Enumeration DateJune 22, 2010
Last NPPES UpdateJuly 2, 2015
NPI 1073824207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in WI · 64321-21
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3801 SPRING STREET, Racine, WI 53403

Accepted 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

Dr. Andrew Thomas Konicek D.o. 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 ID8820304819
PECOS Enrollment IDI20150908000604
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 5

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
121 services116 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
112 services110 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
87 services85 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
43 services42 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

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

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Ascension Wisconsin Hosp Menomonee Falls Campus

Acute Care Hospitals · Menomonee Falls, WI
OwnershipProprietary
CMS Certification Number520214
LocationN88w14275 Main Street, Suite 100Menomonee Falls, WI 53051 · Waukesha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53403 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.

91.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.9
Improvement Activities40
Cost70.34

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 Andrew Konicek's NPI number?

The NPI number for Andrew Konicek is 1073824207. It was assigned to this individual provider in the NPPES registry on June 22, 2010.

Where is Andrew Konicek located?

Andrew Konicek practices at 3801 Spring Street, Racine, WI 53403. The listed phone number is (262) 687-4011.

What is Andrew Konicek's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Andrew Konicek enrolled in Medicare?

Yes. Andrew Konicek 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 Andrew Konicek accept?

Health plans from CareSource (Common Ground Healthcare) list Andrew Konicek 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 Andrew Konicek affiliated with any hospitals?

According to CMS data, Andrew Konicek is affiliated with Ascension All Saints Hospital, Ascension SE Wisconsin Hospital and Ascension Wisconsin Hosp Menomonee Falls Campus.

When was this NPI record last updated?

The NPPES record for Andrew Konicek was last updated on July 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.