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JOSEPH M SETNICAR DDS
NPI 1093849804
Dentist in Oconomowoc, WI

Active since March 15, 2007PECOS Enrolled
820 SUMMIT AVE, OCONOMOWOC, WI 53066(262) 567-4466(262) 567-5957 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joseph M Setnicar Dds NPPES

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

JOSEPH M SETNICAR DDS (NPI 1093849804) is an individual dentist in Oconomowoc, Wisconsin, licensed in Wisconsin (2721) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093849804
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJOSEPH M SETNICARCredential: DDS
Location Address820 SUMMIT AVEOconomowoc, WI 53066-3920
Mailing Address820 Summit AveOconomowoc, WI 53066-3920 · (262) 567-4466 · Fax (262) 567-5957
Phone(262) 567-4466
Fax(262) 567-5957
Sole ProprietorNo
Enumeration DateMarch 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1093849804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 2721
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
820 SUMMIT AVE, Oconomowoc, WI 53066
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 (PECOS)

Joseph M Setnicar Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53066 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

EDP OF WISCONSIN, SC
Clinic/Center (Dental)
820 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (312) 800-1270
DR. KRISTEN ANN VENTO D.O.
Family Medicine
820 SUMMIT AVE, PROHEALTH CARE MEDICAL ASSOCIATES
OCONOMOWOC, WI 53066
Waukesha County (262) 567-0223
JAMES S LEAMAN DDS
Dentist
820 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 567-4466
STACIE A PIACSEK DDS
Dentist
820 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 567-4466
PROHEALTH MEDICAL GROUP INC
Family Medicine
820 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 567-0223
DR. DALE ALAN JOHNSON MD
Family Medicine
820 SUMMIT AVE, PROHEALTH CARE MEDICAL ASSOCIATES FP
OCONOMOWOC, WI 53066
Waukesha County (262) 567-0223
DRS. LEAMAN, SETNICAR & PIACSEK, S.C.
Dentist (General Practice)
820 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 567-4466

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 Joseph Setnicar's NPI number?

The NPI number for Joseph Setnicar is 1093849804. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Joseph Setnicar located?

Joseph Setnicar practices at 820 Summit Ave, Oconomowoc, WI 53066. The listed phone number is (262) 567-4466.

What is Joseph Setnicar's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Joseph Setnicar enrolled in Medicare?

Yes. Joseph Setnicar is registered in the Medicare PECOS enrollment system.

What insurance does Joseph Setnicar accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Guardian list Joseph Setnicar 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.

When was this NPI record last updated?

The NPPES record for Joseph Setnicar was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.